| Patrick C. Creevan, D.D.S., Inc. | |
|
1964 Fourth Street Livermore CA 94550-4163 | |
| (925) 443-5980 | |
| Not Available |
| Full Name | Patrick C. Creevan, D.D.S., Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1964 Fourth Street, Livermore, California |
| Authorized Official Name and Position | Patrick C. Creevan (OWNER) |
| Authorized Official Contact | 9254435980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick C. Creevan, D.D.S., Inc. 1964 Fourth Street Livermore CA 94550-4163 Ph: (925) 443-5980 | Patrick C. Creevan, D.D.S., Inc. 1964 Fourth Street Livermore CA 94550-4163 Ph: (925) 443-5980 |
| NPI Number | 1770798423 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770798423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 47706 (California) | Primary |
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