Provider Demographics
NPI:1609865005
Name:CREEM, JENNIFER (DMD MS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:CREEM
Suffix:
Gender:F
Credentials:DMD MS
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ALENE
Other - Last Name:CREEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD, MS
Mailing Address - Street 1:5 HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4807
Mailing Address - Country:US
Mailing Address - Phone:603-773-4900
Mailing Address - Fax:603-775-7648
Practice Address - Street 1:5 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4807
Practice Address - Country:US
Practice Address - Phone:603-773-4900
Practice Address - Fax:603-775-7648
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH31651223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3075267Medicaid
NH3075267Medicaid
NH0019334Medicare PIN