Crooks, Robert Moore

Crooks, Robert Moore is an individual health care provider with primary practice located at 1901 Blanding St Suite A, Columbia SC 29201-3519. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Crooks, Robert Moore can be contacted via phone (803) 779-8303.

Contact Information

Primary practice address
1901 Blanding St Suite A Columbia SC 29201-3519
Phone: (803) 779-8303
Fax: (803) 779-2198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1922-236 South Carolina

Profile Details

NPI number 1275503740
LBN Legal business name Crooks, Robert Moore
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275503740 NPPES
South Carolina MEDICAID ZA9885

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