RUSSELL JOHN CROCKETT


Address: 5533 E Bell Rd Ste 120, Scottsdale, AZ 85254-1256
Phone: 5205601690

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
D009803 AZ Dental Providers

Office Location

Street Address 5533 E BELL RD STE 120
City SCOTTSDALE
State AZ
Zip Code 85254-1256

Providers in the same zip code

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
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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
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City SCOTTSDALE
Zip Code 85254

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Dataset Information

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.

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