Crocker Family Dental - Dental Clinic in Vicksburg, MS

Crocker Family Dental is a dental clinic (Clinic/center - Dental) in Vicksburg, Mississippi. The current practice location for Crocker Family Dental is 109 Monument Place, Vicksburg, Mississippi. For appointments, you can reach them via phone at (601) 638-3661. The mailing address for Crocker Family Dental is 109 Monument Place, Vicksburg, Mississippi and phone number is (601) 638-3661.

Crocker Family Dental is licensed to practice in Mississippi (license number 3672-12) and its NPI number is 1962802710. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (601) 638-3661.

Contact Information

Crocker Family Dental
109 Monument Place
Vicksburg
MS 39180
(601) 638-3661
(601) 631-0401

Map and Direction


Dental Care Clinic Profile

Full NameCrocker Family Dental
SpecialityClinic/center - Dental
Location109 Monument Place, Vicksburg, Mississippi
Authorized Official Name and PositionJordan P Crocker (OWNER)
Authorized Official Contact6016383661
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crocker Family Dental
109 Monument Place
Vicksburg
MS 39180

Ph: (601) 638-3661
Crocker Family Dental
109 Monument Place
Vicksburg
MS 39180

Ph: (601) 638-3661

NPI Details:

NPI Number1962802710
Provider Enumeration Date08/29/2014
Last Update Date01/09/2019

Medical Identifiers

Medical identifiers for Crocker Family Dental such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962802710NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental 3672-12 (Mississippi)Primary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.