| Joe M Creel, Dds, Pa | |
|
100 W New Haven Ave Melbourne FL 32901-4303 | |
| (321) 723-8821 | |
| Not Available |
| Full Name | Joe M Creel, Dds, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 100 W New Haven Ave, Melbourne, Florida |
| Authorized Official Name and Position | Joe M Creel (OWNER/PRESIDENT) |
| Authorized Official Contact | 3217238821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joe M Creel, Dds, Pa 100 W New Haven Ave Melbourne FL 32901-4303 Ph: (321) 723-8821 | Joe M Creel, Dds, Pa 100 W New Haven Ave Melbourne FL 32901-4303 Ph: (321) 723-8821 |
| NPI Number | 1073607057 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073607057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN4076 (Florida) | Primary |
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