| Heather Marie Crockett, DDS | |
|
240 Parsons Ave Fl 2, Columbus, OH 43215-5331 | |
| (614) 645-7487 | |
| (614) 645-7080 |
| Full Name | Heather Marie Crockett |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 240 Parsons Ave Fl 2, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124287123 | NPI | - | NPPES |
| 0189670 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.023011 (Ohio) | Primary |
| 1223G0001X | Dentist - General Practice | 010471 (Connecticut) | Secondary |
| Entity Name | Lower Lights Christian Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033455209 PECOS PAC ID: 5193794188 Enrollment ID: O20140702000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Marie Crockett, DDS 3433 Agler Rd Ste 2800, Columbus, OH 43219-3389 Ph: (614) 859-1906 | Heather Marie Crockett, DDS 240 Parsons Ave Fl 2, Columbus, OH 43215-5331 Ph: (614) 645-7487 |
Shadonna Danielle Coleman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4655 Morse Centre Rd, Columbus, OH 43229 Phone: 614-470-9840 | |
Dr. Katherine Mudd, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 17 N Harding Rd, Columbus, OH 43209 Phone: 614-239-0051 | |
Dr. Connor Colvin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2607 E Main St, Columbus, OH 43209 Phone: 614-237-3781 | |
Travis Daniel Pero, Dentist Medicare: Not Enrolled in Medicare Practice Location: 182 Parkwood Ave, Columbus, OH 43203 Phone: 330-714-7616 | |
Matthew Eric Shafron, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 380 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-722-5650 | |
Harold Lloyd Voss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Old Henderson Rd, Columbus, OH 43220 Phone: 614-262-2400 Fax: 614-545-2180 | |
Dr. Sarah Zarick, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1151 Bethel Rd, Suite 203, Columbus, OH 43220 Phone: 614-451-0341 |