Creekside Dental, LLC.
Organization Active NPI Dentist · Newark, DE
NPI 1396459376 · NPPES record last updated Jan 13, 2023
Key facts
- NPI
- 1396459376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- CREEKSIDE DENTAL, LLC.
- Practice address
- 414 Capitol TRL
Newark, DE 19711-3865 - Phone
- (302) 738-5766
- NPI assigned
- Jan 13, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kellie Jean Cernobyl
- Title
- Chief Operating Officer
- Phone
- (302) 392-2460
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
414 Capitol TRL
Newark, DE 19711-3865
Mailing address
1250 Peoples PLZ
Newark, DE 19702-5701
Phone (302) 392-2460
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2023. 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.