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Contact Information

CLEARCREEK DENTAL ASSOCIATES INC
25 E CENTRAL AVE
SPRINGBORO, OH45066
 Phone: 937-748-2220
 Fax: 937-748-4588
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CLEARCREEK DENTAL ASSOCIATES INC

NPI # 1124110457
LBN Legal business name CLEARCREEK DENTAL ASSOCIATES INC
Authorized official GREGORY MCDONALD - (CEO PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OH License # 18367
OR License # D8552
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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