Brian E. Crock Dds Ms Inc

LBN: Brian E. Crock Dds Ms Inc
Brian E. Crock Dds Ms Inc is an health care organization with primary practice located at 175 Mcmillen Dr , Newark OH 43055-1810. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Brian E. Crock Dds Ms Inc can be contacted via phone (740) 344-3372, or through Crock, Brian E via phone (740) 344-3372.

Contact Information

Primary practice address
175 Mcmillen Dr Newark OH 43055-1810
Fax:
Website:
Authorized official contact:
Name: Crock, Brian E DDS, MS

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1215100698
LBN Legal business name Brian E. Crock Dds Ms Inc
DBA Doing business as
Authorized official Crock, Brian E DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2008
Last updated Apr 8th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215100698 NPPES
Ohio MEDICAID 0970436

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