Provider Demographics
NPI:1982149175
Name:ANNIE CREATO, DMD, PLLC
Entity Type:Organization
Organization Name:ANNIE CREATO, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CREATO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:484-919-4184
Mailing Address - Street 1:700 S CHESTER RD
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-2224
Mailing Address - Country:US
Mailing Address - Phone:610-627-1199
Mailing Address - Fax:610-627-1886
Practice Address - Street 1:700 S CHESTER RD
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-2224
Practice Address - Country:US
Practice Address - Phone:610-627-1199
Practice Address - Fax:610-627-1886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty