Clearcreek Dental Associates Inc
Organization Active NPI Dentist · Springboro, OH
NPI 1124110457 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124110457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 18367 (OH)
- Legal business name
- CLEARCREEK DENTAL ASSOCIATES INC
- Practice address
- 25 E Central Ave
Springboro, OH 45066 - Phone
- (937) 748-2220
- Fax
- (937) 748-4588
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Gregory Allan McDonald
- Title
- Ceo Pres
- Phone
- (937) 748-2220
Practitioners 1
-
Andrew Zucker, D.D.S
National Provider Directory
Locations
25 E Central Ave
Springboro, OH 45066
Phone (937) 748-2220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 18367 | OH | Yes |
| Dentist |
122300000X | D8552 | OR |
Addresses
Primary practice location
25 E Central Ave
Springboro, OH 45066
Mailing address
25 E Central Ave
Springboro, OH 45066
Phone (937) 748-2220
Other providers in Springboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.