Provider Demographics
NPI:1083729230
Name:KREASHKO, ROBERT G (DMD, MDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:G
Last Name:KREASHKO
Suffix:
Gender:M
Credentials:DMD, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 UNION AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-2133
Mailing Address - Country:US
Mailing Address - Phone:724-224-3599
Mailing Address - Fax:724-224-3669
Practice Address - Street 1:1601 UNION AVE
Practice Address - Street 2:SUITE A
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-2133
Practice Address - Country:US
Practice Address - Phone:724-224-3599
Practice Address - Fax:724-224-3669
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026386L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics