National Provider Identifier Database

DENNIS M CROCKETT, MD – NPI #1356362800
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

DENNIS M CROCKETT, MD
26726 CROWN VALLEY PKWY.
SUITE 200 HEAD & NECK ASSOCIATES OF ORANGE COUNTY
MISSION VIEJO, CA92691
Phone: 949-364-4361
Fax: 949-364-4495
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for DENNIS M CROCKETT

NPI Number 1356362800
Credentials MD
Entity Individual
Enumeration date 07/21/2006
Last updated 11/26/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • CA License #: G42104
  • CA Medicaid: 00G421040
  • Other: W8109 GEL PTAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DENNIS M CROCKETT, MD

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