Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124287123 Individual Practitioner Female Practitioner

Dr. Heather Marie Crockett , DDS

Dentist - General Practice • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Dr. Heather Crockett, DDS is a registered healthcare professional specializing in Dentist - General Practice in Columbus, OH. Practice services are available at 240 PARSONS AVE FL 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

240 Parsons Ave Fl 2

Columbus, OH 432155331

Telephone 6146457487
Fax 6146457080
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
351 Specialists

Practicing in Columbus, OH (4287 Statewide)

Telehealth Adoption Rate
0.0% 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: 2025-09-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30.023011

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CT 010471

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0189670 (OH)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Alicia Thomas , DDS

Dentist - General Practice

NPI 1043574171

Doctor of Dental Surgery

Dr. Deani Deskins-Knebel , DDS

Dentist - General Practice

NPI 1316021389

Doctor of Dental Surgery

Dr. Daniel Collins , DDS

Dentist - General Practice

NPI 1912081068

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location September 12, 2025

Registered at 240 PARSONS AVE FL 2, COLUMBUS, OH 432155331 (Tel: 6146457487)

📍
Updated Business Mailing Address September 12, 2025

Registered at 3433 AGLER RD STE 2800, COLUMBUS, OH 432193389 (Tel: 6148591906)

👤
Provider Name / Credentials Updated September 12, 2025

Recorded as HEATHER CROCKETT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2025

Dentist (License #30.023011 in OH)

📍
Updated Practice Location February 28, 2022

Registered at 1160 W BROAD ST, COLUMBUS, OH 432221352 (Tel: 6142741455)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2022

Dentist (License #010471 in CT)

NPI Profile Active February 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2016

Registered at 675 MAIN STREET, MIDDLETOWN, CT 064572632 (Tel: 8603476971)

📍
Updated Business Mailing Address February 16, 2016

Registered at 575 MAIN ST FL 2, ATTN: CREDENTIALING DEPT, MIDDLETOWN, CT 064572845 (Tel: 8603476971)

👤
Provider Name / Credentials Updated February 16, 2016

Recorded as HEATHER CROCKETT-MILLER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2016

Dentist (License #2702 in OH)

🟢
Initial NPI Registration & Enumeration June 04, 2008

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: 1124287123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2008
Last Update: September 12, 2025
Sole Proprietor: Yes

Mailing Address

3433 Agler Rd Ste 2800

Columbus, OH 432193389

Phone: 6148591906

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.