Organization
CLEARCREEK DENTAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALLAN MCDONALD (CEO PRES)
(937) 748-2220
Entity
Organization
Contact information
Practice address
25 E CENTRAL AVE, SPRINGBORO, OH 45066
(937) 748-2220
(937) 748-4588
Mailing address
25 E CENTRAL AVE, SPRINGBORO, OH 45066
(937) 748-2220
(937) 748-4588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18367
OH
122300000X
Dentist
D8552
OR
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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