Matthew Leroy Creech in Fort Wayne - Dentist

Matthew Leroy Creech - NPI 1770702615

Matthew Leroy Creech is a Dentist in Fort Wayne, Indiana. Matthew Leroy Creech practices all healthcare services and medical treatments related to Dentist. The NPI Number for Matthew Leroy Creech is 1770702615. The last update date is 2007-07-08.

Matthew Leroy Creech's current location address is 7202 Engle Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604323459 and fax number 2604364757. The mailing address for Matthew Leroy Creech is 7202 Engle Rd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Leroy Creech
Address 7202 Engle Rd, Fort Wayne, Indiana
Phone Number 2604323459
Fax Number 2604364757
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1770702615
Provider Enumeration Date 2007-04-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7202 Engle Rd
City Fort Wayne
State Indiana (IN)
Post Code 46804
Phone Number 2604323459
Fax Number 2604364757

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 12010298A
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Matthew Leroy Creech

What is the unique identifier code issued to Matthew Leroy Creech by the Centers for Medicare & Medicaid Services (CMS)?

The Matthew Leroy Creech has been assigned the NPI (National Provider Identifier) 1770702615. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Matthew Leroy Creech's facilities are situated?

The facilities of Matthew Leroy Creech are physically located at the following address: 7202 Engle Rd, Fort Wayne, IN, 46804.

What is Matthew Leroy Creech's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Matthew Leroy Creech's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When was the Matthew Leroy Creech's 1770702615 issued?

The Matthew Leroy Creech's 1770702615 was issued on 2007-04-25.

When was the information pertaining to Matthew Leroy Creech most recently updated or revised?

The details related to Matthew Leroy Creech, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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