Creekside Dental, Llc. | |
414 Capitol Trl Newark DE 19711-3865 | |
(302) 738-5766 | |
Not Available |
Full Name | Creekside Dental, Llc. |
---|---|
Speciality | Dentist |
Location | 414 Capitol Trl, Newark, Delaware |
Authorized Official Name and Position | Kellie Jean Cernobyl (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 3023922460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Creekside Dental, Llc. 1250 Peoples Plz Newark DE 19702-5701 Ph: (302) 392-2460 | Creekside Dental, Llc. 414 Capitol Trl Newark DE 19711-3865 Ph: (302) 738-5766 |
NPI Number | 1396459376 |
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Provider Enumeration Date | 01/13/2023 |
Last Update Date | 01/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396459376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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