RUSSELL JOHN CROCKETT (NPI# 1720503758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720503758 |
Entity Type | Individual |
Full Name | RUSSELL JOHN CROCKETT |
Credential | DMD |
Practice Address |
5533 E Bell Rd Ste 120 Scottsdale AZ 85254-1256 |
Practice Telephone | 5205601690 |
Enumeration Date | 2017-08-10 |
Last Update Date | 2018-02-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
D009803 | AZ | Dental Providers |
Street Address |
5533 E BELL RD STE 120 |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85254-1256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891318416 | Dental Center of Scottsdale Pllc | Dentist | 6945 E. Sahuaro, Dr. Ste A-3, Scottsdale, AZ 85254 | 2020-05-19 |
1730651365 | Banner Urgent Care Services, LLC | Clinic/Center | 6501 East Greenway Parkway Building 3 Ste 104, Scottsdale, AZ 85254 | 2018-12-20 |
1801364872 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 7047 E. Greenwood Parkway, Suite 250, Scottsdale, AZ 85254 | 2018-11-08 |
1497241079 | Saguaro Treatment Center | Pain Medicine | 5533 E. Bell Rd #111, Scottsdale, AZ 85254 | 2018-07-06 |
1811489941 | One Hundred Dental Pllc | Clinic/Center | 11000 N Scottsdale Rd Ste 290, Scottsdale, AZ 85254 | 2018-06-05 |
1104339316 | Victoria Lynne Amstutz | Family Medicine | 5546 E. Yucca Street, Scottsdale, AZ 85254 | 2017-11-09 |
1205345477 | Dentists of Scottsdale, LLP | Dentist | 16201 N Scottsdale Road, Ste 100, Scottsdale, AZ 85254 | 2017-09-20 |
1346779626 | Jillian Manng | Nurse Practitioner | 11000 N. Scottsdale Rd., #145, Scottsdale, AZ 85254 | 2017-06-08 |
1184163339 | Emily Tepouha Bashah | Psychologist | 13430 North Scottsdale Road, Suite #301a, Scottsdale, AZ 85254 | 2017-02-21 |
1427596741 | Tiffany Schonert | Contractor | 7127 E Sahuaro Dr Suite 105, Scpttsdale, AZ 85254 | 2017-02-07 |
Find all providers in zip 85254 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205074879 | Edward Kent Fritch | Dentist | 18650 N Thompson Peak Pkwy, Suite 2010, Scottsdale, AZ 85255-6190 | 2009-02-04 |
1801049010 | Fitzgerald Professional Corporation | Dentist | 7054 East Cochise Rd, B-230, Scottsdale, AZ 85253-4550 | 2008-10-31 |
1477709004 | Kevin Brian Cebrynski | Dentist | 9097 E Desert Cove Dr Ste 240, Scottsdale, AZ 85260-6277 | 2008-08-14 |
1043303001 | Shreedevi Thulasidas | Dentist | 34597 N 60th St Ste 101, Scottsdale, AZ 85266-5241 | 2006-10-02 |
1295846541 | Michael Lawrence Bleeker | Dentist | 9377 E Bell Rd Ste 379, Scottsdale, AZ 85260-1505 | 2006-08-31 |
1942271432 | Matthew Benjamin Kahn | Dentist | 8708 E San Marcos Dr, Scottsdale, AZ 85258-2616 | 2006-02-01 |
1538167234 | Michael J Gibbons | Dentist | 7477 E Doubletree Ranch Rd, Suite 200, Scottsdale, AZ 85258-2048 | 2005-07-07 |
1053318642 | Daniel Fernando Galindo | Dentist | 5533 E Bell Rd, Ste 120, Scottsdale, AZ 85254-1256 | 2005-06-28 |
1194247098 | Scottsdale Prosthodontists II, Pllc | Dentist | 11111 N Scottsdale Rd Ste 220, Scottsdale, AZ 85254-6732 | 2017-07-12 |
1629376009 | Bruce Jay Etkin | Dentist | 7181 E Camelback Rd, Apt 1201, Scottsdale, AZ 85251-1279 | 2011-03-08 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85254 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.