Aaron Crittendon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10336 Issued in SC

Practice address

1033 Roberts Branch Pkwy
Columbia, SC 29203-9148

Phone

(803) 339-8542

NPI assigned

Oct 12, 2022

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1619692647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHIMNEYRIDGE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292296571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 ROBERTS BRANCH PKWY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039148",
            "telephone_number": "803-339-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITTENDON",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeremy R. Crisp, MD
• Donna Lynn Crocker, DNP, APRN-BC, FNP
• Grace Ann Hinnant Crocker, M.S.
• Barbara Anastasia Crockett, M.D.
• Briana Crockett, RBT
• Deidre Berger Crockett, D.M.D.

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.