Timothy Ray Creech, DDS
Individual provider Active NPI General Practice Dentistry · Zebulon, NC
NPI 1043357031 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043357031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6217 (NC)
- Practice address
- 812 N Arendell Ave
Zebulon, NC 27597-2306 - Phone
- (919) 269-7411
- Fax
- (919) 269-7471
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160711000288 | NC | Order and Referring Only - Dentist |
4587956636 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6217 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy R. Creech, DDS | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6217 | NC | Yes |
Addresses
Primary practice location
812 N Arendell Ave
Zebulon, NC 27597-2306
Mailing address
PO Box 100
Zebulon, NC 27597-0100
Phone (919) 269-7411
Other providers in Zebulon, NC
- Allison Comtois
- County of Wake
- Coventry House of Zebulon
- Covington Cancer Foundation
- Yulander Covington
- Michael P Croitoru
- Di-Yanni Curtis
- Cyrus Home LLC
- Daniel W Driskill DDS PA
- Jason Dao
All providers in Zebulon, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.