Jessica R Croxton, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN016101 Issued in GA

Practice address

117 First National Dr
Dallas, GA 30157-3430

Phone

(770) 505-9100

NPI assigned

Feb 21, 2020

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 11, 2024 through Nov 11, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Oral & Maxillofacial Surgery Associates, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
  • NPI 1194732735
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1982237533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 WILLIAMS ST UNIT 111",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046192",
            "telephone_number": "479-571-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FIRST NATIONAL DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301573430",
            "telephone_number": "770-505-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Golf Crest Dr",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301012698",
            "country_code": "US",
            "telephone_number": "770-422-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROXTON",
        "first_name": "JESSICA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN016101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CPM Surgery Center 2, LLC
• Isyss Crawford
• Lawrence E. Crawford
• Crossing Point Psychology & Counseling
• Croxton Dental LLC
• Kaitlin Rene Cruickshank, OT
• Latanya Crum-Ewing, PMHNP-BC
• Desiree Crump
• Javon Paul Curry
• Heidi Joy Curtis

• Dentist in Dallas, GA
• Providers in Dallas, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.