Heather Marie Crockett-miller, DDS | |
1160 W Broad St, Columbus, OH 43222-1352 | |
(614) 274-1455 | |
(614) 274-1433 |
Full Name | Heather Marie Crockett-miller |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 1160 W Broad St, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124287123 | NPI | - | NPPES |
0189670 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 010471 (Connecticut) | Secondary |
1223G0001X | Dentist - General Practice | 30.023011 (Ohio) | Primary |
Entity Name | Lower Lights Christian Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033455209 PECOS PAC ID: 5193794188 Enrollment ID: O20140702000762 |
Mailing Address | Practice Location Address |
---|---|
Heather Marie Crockett-miller, DDS 575 Main St Fl 2, Attn: Credentialing Dept, Middletown, CT 06457-2845 Ph: (860) 347-6971 | Heather Marie Crockett-miller, DDS 1160 W Broad St, Columbus, OH 43222-1352 Ph: (614) 274-1455 |
Timothy C Hall, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3600 Olentangy River Rd, Suite 500a, Columbus, OH 43214 Phone: 614-451-5201 Fax: 614-451-0160 | |
Shadonna Danielle Coleman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4655 Morse Centre Rd, Columbus, OH 43229 Phone: 614-470-9840 | |
Dr. Katherine Mudd, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 17 N Harding Rd, Columbus, OH 43209 Phone: 614-239-0051 | |
Dr. Connor Colvin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2607 E Main St, Columbus, OH 43209 Phone: 614-237-3781 | |
Travis Daniel Pero, Dentist Medicare: Not Enrolled in Medicare Practice Location: 182 Parkwood Ave, Columbus, OH 43203 Phone: 330-714-7616 | |
Harold Lloyd Voss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Old Henderson Rd, Columbus, OH 43220 Phone: 614-262-2400 Fax: 614-545-2180 | |
Dr. Sarah Zarick, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1151 Bethel Rd, Suite 203, Columbus, OH 43220 Phone: 614-451-0341 |