DR. JAMES EVERETT CROCKETT JR. DDS
NPI 1316954019
Dentist - General Practice in Prescott, AZ

Active since August 02, 2006
1787 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 445-8980(928) 445-4117 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Everett Crockett Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES EVERETT CROCKETT JR. DDS (NPI 1316954019) is an individual general practice provider in Prescott, Arizona, licensed in Arizona (2182) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1316954019
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAMES EVERETT CROCKETT JR.Credential: DDS
Location Address1787 WILLOW CREEK RDPrescott, AZ 86301-1154
Mailing Address1787 Willow Creek RdPrescott, AZ 86301-1154 · (928) 445-8980 · Fax (928) 445-4117
Fax(928) 445-4117
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1316954019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in AZ · 2182 Licensed in CA · 25501
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1787 WILLOW CREEK RD, Prescott, AZ 86301

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1787 WILLOW CREEK RD
PRESCOTT, AZ 86301
Dentist
1787 WILLOW CREEK RD
PRESCOTT, AZ 86301
Dentist
1787 WILLOW CREEK RD
PRESCOTT, AZ 86301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Crockett's NPI number?

The NPI number for James Crockett is 1316954019. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is James Crockett located?

James Crockett practices at 1787 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 445-8980.

What is James Crockett's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for James Crockett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.