Lilac Kids Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LILAC KIDS PEDIATRIC DENTISTRY

Practice address

5 Hampton Rd
Exeter, NH 03833-4807

Phone

(603) 773-4900

Fax

(603) 775-7648

NPI assigned

Sep 27, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Creem, DMDNPI 1609865005

Title

Owner/Pediatric Dentist

Phone

(978) 884-5076

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jennifer Creem, DMD MS

  • Pediatric Dentistry
  • Exeter, NH
  • NPI 1609865005
  NPD Authorized official

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1659199891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RICHARDS AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015237",
            "telephone_number": "978-884-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HAMPTON RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334807",
            "telephone_number": "603-773-4900",
            "fax_number": "603-775-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC KIDS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "CREEM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "978-884-5076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Levi, PTA
• Richard L. Levy, MD
• Life Choice Hospice of New Hampshire, LLC
• Life Choice Hospice of New Hampshire, LLC
• Lifetime Dental Professionals of New Hampshire, P.C.
• Grace Lindsay
• Mikkel Linskey, DPT
• Vasilios A. Lirofonis, DPM
• Sarah Litsch
• Thomas Chung Liu, M.D.

• Pediatric Dentistry in Exeter, NH
• Providers in Exeter, NH by specialty
• Pediatric Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.