Provider Demographics
NPI:1598273369
Name:CREME, DIANE R (RDH PHDH)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:R
Last Name:CREME
Suffix:
Gender:F
Credentials:RDH PHDH
Other - Prefix:
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Mailing Address - Street 1:304 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3374
Mailing Address - Country:US
Mailing Address - Phone:717-283-7598
Mailing Address - Fax:717-325-8057
Practice Address - Street 1:584 SPRINGVILLE RD
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-9564
Practice Address - Country:US
Practice Address - Phone:171-735-4471
Practice Address - Fax:717-354-0284
Is Sole Proprietor?:No
Enumeration Date:2018-01-16
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADH005827L124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist