Organization
JOE M CREEL, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE M CREEL DDS, MS (OWNER/PRESIDENT)
(321) 723-8821
Entity
Organization
Contact information
Practice address
100 W NEW HAVEN AVE, MELBOURNE, FL 32901-4303
(321) 723-8821
Mailing address
100 W NEW HAVEN AVE, MELBOURNE, FL 32901-4303
(321) 723-8821
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN4076
FL
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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