| Creekside Dental, Llc. | |
|
414 Capitol Trl Newark DE 19711-3865 | |
| (302) 738-5766 | |
| Not Available |
| Full Name | Creekside Dental, Llc. |
|---|---|
| Speciality | Dentist |
| Location | 414 Capitol Trl, Newark, Delaware |
| Authorized Official Name and Position | Kellie Jean Cernobyl (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3023922460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Dental, Llc. 1250 Peoples Plz Newark DE 19702-5701 Ph: (302) 392-2460 | Creekside Dental, Llc. 414 Capitol Trl Newark DE 19711-3865 Ph: (302) 738-5766 |
| NPI Number | 1396459376 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396459376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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