Kennard William Creason in Grand Haven - General Practice
Kennard William Creason - NPI 1386717098
Kennard William Creason is a General Practice in Grand Haven, Michigan. Kennard William Creason practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kennard William Creason is 1386717098. The last update date is 2007-07-08.
Kennard William Creason's current location address is 333 A Jackson, Grand Haven, Michigan. You can contact this provider via phone number 6168420822 and fax number 6168420955. The mailing address for Kennard William Creason is 333 A Jackson, Grand Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kennard William Creason |
|---|---|
| Address | 333 A Jackson, Grand Haven, Michigan |
| Phone Number | 6168420822 |
| Fax Number | 6168420955 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1386717098 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 333 A Jackson |
|---|---|
| City | Grand Haven |
| State | Michigan (MI) |
| Post Code | 49417 |
| Phone Number | 6168420822 |
| Fax Number | 6168420955 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901011283 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4042439 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kennard William Creason by the Centers for Medicare & Medicaid Services?
The Kennard William Creason has been issued the NPI (National Provider Identifier) 1386717098 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kennard William Creason is physically located?
The Kennard William Creason is physically situated at the following address: 333 A Jackson, Grand Haven, MI, 49417.
What is Kennard William Creason's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kennard William Creason is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386717098 to Kennard William Creason?
The Centers for Medicare & Medicaid Services assigned the 1386717098 to Kennard William Creason on 2006-11-17.
When was the information related to Kennard William Creason most recently updated or refreshed?
The details pertaining to the Kennard William Creason, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1023014131
Address: 3901 Houma Blvd, Metairie, LA