Dr Todd James Crockett, DDS is a
Dentist based in Lame Deer, Montana. Dr Todd James Crockett is licensed to practice in Missouri (license number 2006021224) and his current practice location is
100 Cheyenne Ave., Lame Deer, Montana. He can be reached at his office (for appointments etc.) via phone at
(406) 477-4509.
NPI number for Dr Todd James Crockett is 1457560815 and his current mailing address is Po Box 2409, Colstrip, Montana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457560815.
Healthcare Provider's Profile
| Full Name | Dr Todd James Crockett |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 100 Cheyenne Ave., Lame Deer, Montana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457560815
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 07/12/2007
Medical Identifiers
Medical identifiers for Dr Todd James Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457560815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2006021224 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Todd James Crockett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Todd James Crockett, DDS
Po Box 2409,
Colstrip, MT 59323-2409
Ph: (406) 740-1281 | Dr Todd James Crockett, DDS
100 Cheyenne Ave.,
Lame Deer, MT 59043
Ph: (406) 477-4509 |
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