David Richard McCreary, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15207 Issued in FL

Practice address

222 Oakridge Blvd
Ste 100
Daytona Beach, FL 32118-4080

Phone

(386) 253-1272

Fax

(386) 423-3653

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1184772212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 OAKRIDGE BLVD",
            "address_2": "STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184080",
            "telephone_number": "386-253-1272",
            "fax_number": "386-423-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 OAKRIDGE BLVD",
            "address_2": "STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184080",
            "telephone_number": "386-253-1272",
            "fax_number": "386-423-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joleyn McClemens, RDH, BS, PDHC
• Tiffany McClure, RD, CDE
• Tammy Moran McConville, PA-C
• Kameka Jodi-Anna McCoy
• Angelica Lee McCraney
• Camele Antonette McDonald Moranz
• Jerome Reuben McDuffie Jr., LMHC
• Virginia Gaglione McFarland, PT
• Jasmine McGowan
• Kristine McGowan, ARNP

• General Practice Dentistry in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.