Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE J CREEDON
Active Sole ProprietorDIANE J CREEDON is a Dental Hygienist healthcare provider located in FORT DETRICK, Maryland. NPI 1225488984 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · FORT DETRICK, MD
Registration Details
- NPI Number
- 1225488984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2016 (10.212020637167 yrs)
- Last Updated
- Jun 7, 2022
- License
-
DH15181 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1434 PORTER STREETFORT DETRICK, MD, 21702Browse MD providers · Browse ZIP 21702
- Phone
- 3016197675
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in FORT DETRICK, MD
| Name | Credential | NPI |
|---|---|---|
| YANYAN GAO | X2 | 1023781804 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.