| Robert M. Crooks, Jr., D.m.d. | |
|
1901 Blanding St Suite A Columbia SC 29201-3581 | |
| (803) 779-8303 | |
| (803) 779-2198 |
| Full Name | Robert M. Crooks, Jr., D.m.d. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1901 Blanding St, Columbia, South Carolina |
| Authorized Official Name and Position | Robert Moore Crooks (PRESIDENT) |
| Authorized Official Contact | 8037798303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert M. Crooks, Jr., D.m.d. 1901 Blanding St Suite A Columbia SC 29201-3581 Ph: (803) 779-8303 | Robert M. Crooks, Jr., D.m.d. 1901 Blanding St Suite A Columbia SC 29201-3581 Ph: (803) 779-8303 |
| NPI Number | 1861796336 |
|---|---|
| Provider Enumeration Date | 12/27/2010 |
| Last Update Date | 12/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861796336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1922 (South Carolina) | Primary |
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