Doctor profile · Federal record
Dr. Jordan Crocker, DMD
General Practice Dentistry · Vicksburg, MS
- NPI 1982952115
- 14 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
109 Monument Pl
Vicksburg, MS 391805161
(601) 638-3661
fax (601) 631-0401
Credentials & registration
- NPI registered
- August 2012 — 14 yrs on file
- Profile last updated
- December 7, 2018
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Mississippi #3672-12
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1982952115. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| COLGATE ORAL PHARMACEUTICALS, INC. | 1 | $13.90 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
161
Patients
105
Total drug cost
$750
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 66 | 51 | $197 |
| Chlorhexidine Gluconate | Generic | 40 | 25 | $250 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 40 | 29 | $207 |
| Clindamycin Hcl | Generic | 15 | 0 | $95 |
Frequently asked questions
What is Dr. Jordan Crocker's medical specialty?
Dr. Jordan Crocker practices General Practice Dentistry in Vicksburg, MS.
Where does Dr. Jordan Crocker practice?
Dr. Jordan Crocker practices at 109 Monument Pl, Vicksburg, MS 391805161. Office phone: 6016383661.
What is Dr. Jordan Crocker's NPI?
Dr. Jordan Crocker's National Provider Identifier (NPI) is 1982952115, issued by NPPES.