James H. Creznic DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3596 Issued in ME

Legal business name

JAMES H. CREZNIC DMD, PA

Practice address

122 High St
Farmington, ME 04938-1928

Phone

(207) 778-6342

Fax

(207) 778-6527

NPI assigned

Jan 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James H. Creznic, DMDNPI 1063565364

Title

President

Phone

(207) 778-6342

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James H. Creznic, DMD

  • General Practice Dentistry
  • Farmington, ME
  • NPI 1063565364
  NPD (past) Authorized official

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1306022371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HIGH ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381928",
            "telephone_number": "207-778-6342",
            "fax_number": "207-778-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HIGH ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381928",
            "telephone_number": "207-778-6342",
            "fax_number": "207-778-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. CREZNIC DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "CREZNIC",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-778-6342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight-Premier Health LLC
• Interpractic Inc
• Ross N Isacke, DO
• Emily Alyson Jacobs, DO
• Susan Jacoby, CNM
• Rebecca Jasch, RN
• Christopher E Jastram, DO
• Elizabeth Jennings, LCPC
• Andrew Cole Jones, MD
• Jasmine Judith Perez Jones, LCSW

• General Practice Dentistry in Farmington, ME
• Providers in Farmington, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.