DR. BENJAMIN CROCKETT (NPI# 1821574708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821574708 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN CROCKETT |
| Credential | DMD |
| Practice Address |
385 S Columbia St Chapel Hill NC 27599-0001 |
| Mailing Address |
6205 Farrington Rd Apt F5 Chapel Hill NC 27517-7851 |
| Practice Telephone | 9195373737 |
| Mailing Telephone | 9493227697 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
51203 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841610672 | Benjamin Joel Crockett | Social Worker | 11184 Sw Bel Aire Ln, Beaverton, OR 97008-5918 | 2014-04-19 |
| 1164601738 | Benjamin David Crockett | Dentist | 344 Ne Marshall Ave, Bend, OR 97701-4346 | 2007-10-30 |
| Street Address |
385 S COLUMBIA ST |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27599-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659620136 | Elizabeth Anne Griffis | Dentist | 385 S Columbia St, Chapel Hill, NC 27599-0001 | 2012-08-30 |
| 1598375099 | Auvi Tran | Student in an Organized Health Care Education/Training Program | 385 S Columbia St, Chapel Hill, NC 27599-0001 | 2020-08-09 |
| 1851900674 | Thomas Matthews Hoopes II | Dentist | 385 S Columbia St, Chapel Hill, NC 27599-0001 | 2020-07-28 |
| 1346868544 | Erika Babikow | Dentist | 385 S Columbia St, Chapel Hill, NC 27599-0001 | 2020-07-14 |
| 1770109852 | Yiing-shiuan Huang | Dentist | 385 S Columbia St, Chapel Hill, NC 27599-0001 | 2020-06-24 |
| 1356967467 | Leah Anderson | Dentist | 385 S Columbia St, Chapel Hill, NC 27599-0001 | 2020-06-24 |
| 1306460365 | Stephanie Marie Companioni | Dentist | 385 S Columbia St, Chapel Hill, NC 27599-0001 | 2020-06-04 |
| 1932729258 | Steven Daniel Hancock | Dentist | 385 S Columbia St, Chapel Hill, NC 27599-7457 | 2020-04-17 |
| 1053930776 | Jeremy Kamari | Student in an Organized Health Care Education/Training Program | 385 S Columbia St, Chapel Hill, NC 27599-7450 | 2020-04-13 |
| 1720617160 | Morgan Nicole Kesecker | Student in an Organized Health Care Education/Training Program | 385 S Columbia St, Chapel Hill, NC 27599-0001 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
| 1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
| 1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
| 1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
| Find all providers in zip 27599 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957951 | Erin Hong Dds Pllc | Dentist | 137 Vintage Dr, Chapel Hill, NC 27516-9414 | 2019-11-26 |
| 1417599309 | Brandon Ali Koroni | Dentist | 385 S Columbia St., Chapel Hill, NC 27516 | 2019-10-11 |
| 1730721978 | Azin Parsa | Dentist | 5411-h Koury Oral Health Sciences Building, Chapel Hill, NC 27599-7450 | 2019-10-09 |
| 1043732852 | Peter Green | Dentist | 304 Copperline Dr Apt U, Chapel Hill, NC 27516-0421 | 2017-07-13 |
| 1639318744 | Unc Oral & Maxillofacial Radiology | Dentist | Univ of North Carolina At Chapel Hl, 101 Brauer Hall Cb 7450, Chapel Hill, NC 27599-0001 | 2009-02-12 |
| 1790781920 | Donald A Tyndall | Dentist | Unc Dental Faculty Practice, 117 Brauer Hall, Cb #7450, Chapel Hill, NC 27599-7450 | 2005-06-22 |
| 1568671626 | Andre Mol | Dentist | 101 Brauer Hall Cb # 7450, Chapel Hill, NC 27599-7450 | 2007-05-22 |
| 1023177391 | John Barrett Ludlow | Dentist | 101 Brauer Hall Cb # 7450, Chapel Hill, NC 27599-7450 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669486536 | Jeffery Brent Price | Dentist | 1103 Scheppergrell Dr, Hendersonville, NC 28791-3341 | 2006-07-28 |
| 1619997392 | William Bruce Howerton Jr. | Dentist | 3200 Blue Ridge Rd, Suite 218, Raleigh, NC 27612-8086 | 2006-07-19 |
| City | CHAPEL HILL |
| Zip Code | 27599 |
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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.