Organization · NPI-2

Clearcreek Dental Associates INC

Dentist · Springboro, OH

NPI number1124110457
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1124110457
Entity type
Organization (NPI-2)
Legal business name
Clearcreek Dental Associates INC
Organization subpart
No
Enumeration date
Sep 28, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist18367OHYes
122300000X DentistD8552OR

Practice location

25 E Central Ave
Springboro, OH 45066

Phone 937-748-2220 · Fax 937-748-4588

Mailing address

25 E Central Ave
Springboro, OH 45066

Phone 937-748-2220 · Fax 937-748-4588

Authorized official

Gregory Allan Mcdonald
Ceo Pres
9377482220

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Springboro, OH