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Active NPI 1144065962 Individual Practitioner Male Practitioner

Dr. Devin Crockett , DMD

Dentist - General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Devin Crockett, DMD is a registered healthcare professional specializing in Dentist - General Practice in Chicago, IL. Practice services are available at 1253 W 18TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1253 W 18th St

Chicago, IL 606083242

Telephone 7737313300
Associated Practice Facility / Clinic
🏢 Comfort Teeth Pilsen Facility NPI 1295415677

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 035252

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Maame-Ama Antwi , DMD

Dentist - General Practice

NPI 1083226781

Doctor of Dental Medicine

Dr. Marteki Codjoe , DMD

Dentist - General Practice

NPI 1235623042

Doctor of Dental Medicine

Dr. Clarence Towns , DDS

Dentist - Endodontics

NPI 1477723302

Doctor of Dental Surgery

Gunmeet Maini

Dentist - General Practice

NPI 1972335123

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2024

Registered at 1253 W 18TH ST, CHICAGO, IL 606083242 (Tel: 7737313300)

📍
Updated Business Mailing Address June 25, 2024

Registered at 1610 S LOOMIS ST APT 1, CHICAGO, IL 606082195 (Tel: 6303909002)

👤
Provider Name / Credentials Updated June 25, 2024

Recorded as DEVIN CROCKETT, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Dentist (License #035252 in IL)

🟢
Initial NPI Registration & Enumeration June 25, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144065962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2024
Last Update: June 25, 2024
Sole Proprietor: Yes

Mailing Address

1610 S Loomis St Apt 1

Chicago, IL 606082195

Phone: 6303909002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.