Crosby Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

247989 Issued in MS

Legal business name

CROSBY DENTAL GROUP

Practice address

406 Briarwood Dr
Suite 401
Jackson, MS 39206-3039

Phone

(601) 956-2000

Fax

(601) 956-8046

NPI assigned

Mar 25, 2008

Last updated

Mar 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mickey Eugene Crosby, DMDNPI 1841406311

Title

President

Phone

(601) 956-2000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mickey E. Crosby, DMD

  • General Practice Dentistry
  • Jackson, MS
  • NPI 1841406311
  Authorized official Same address or phone

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1164694675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BRIARWOOD DR",
            "address_2": "SUITE 401",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063039",
            "telephone_number": "601-956-2000",
            "fax_number": "601-956-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BRIARWOOD DR",
            "address_2": "SUITE 401",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063039",
            "telephone_number": "601-956-2000",
            "fax_number": "601-956-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSBY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-956-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "247989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Lawrick Crocker, RDN
• Robert Leon Crocker, M.D.
• Kathy Crockett, LPC
• Timika Roshaun Crockett, NP
• Ashley Trussell Croom, NP
• Madison Tate Crosby, MD
• Marilyn Gay Crosby, DMD
• Mickey E. Crosby, DMD
• Emmet Craig Crosland, D.M.D.
• Brittain Cross, D.O.

• General Practice Dentistry in Jackson, MS
• Providers in Jackson, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.