3Rdmolar PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

3RDMOLAR PLLC

Practice address

5072 West Plano Pkwy #100
Plano, TX 75093-3044

Phone

(972) 267-6244

NPI assigned

Mar 22, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey David Croarkin, DDS

Title

Owner/Provider

Phone

(512) 560-0568

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1033679337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 ASKEW ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446041",
            "telephone_number": "512-560-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 WEST PLANO PKWY #100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933044",
            "telephone_number": "972-267-6244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Pecan Park Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760123044",
            "country_code": "US",
            "telephone_number": "512-560-0568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "3RDMOLAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "CROARKIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "512-560-0568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.