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DR. CHARLES L. CROCKER DDS
NPI 1487661963
Dentist - General Practice in Monticello, FL

Active since August 01, 2006
952 MAHAN DR, MONTICELLO, FL 32344(850) 997-3984 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles L. Crocker Dds NPPES

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

DR. CHARLES L. CROCKER DDS (NPI 1487661963) is an individual general practice provider in Monticello, Florida, licensed in Florida (DN 7229) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1487661963
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES L. CROCKERCredential: DDS
Location Address952 MAHAN DRMonticello, FL 32344-1136
Mailing Address952 W Mahan DrMonticello, FL 32344 · (850) 997-3984
Phone(850) 997-3984
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1487661963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN 7229
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.
952 MAHAN DR, Monticello, FL 32344
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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 Charles Crocker's NPI number?

The NPI number for Charles Crocker is 1487661963. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Charles Crocker located?

Charles Crocker practices at 952 Mahan Dr, Monticello, FL 32344. The listed phone number is (850) 997-3984.

What is Charles Crocker'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 Charles Crocker was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.