Crockett, G Roland

Crockett, G Roland is an individual health care provider with primary practice located at 320 12Th Street , Huntington WV 25701. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Crockett, G Roland can be contacted via phone (304) 525-8056.

Contact Information

Primary practice address
320 12Th Street Huntington WV 25701
Phone: (304) 525-8056
Fax: (304) 525-8064
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2221 West Virginia

Profile Details

NPI number 1154498897
LBN Legal business name Crockett, G Roland
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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