Organization
PEDIATRIC DENTAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CREIGHTON DDS (MEMBER)
(716) 688-7712
Entity
Organization
Contact information
Practice address
1800 MAPLE RD STE 200, WILLIAMSVILLE, NY 14221-2749
(716) 688-7712
(716) 688-4719
Mailing address
1800 MAPLE RD STE 200, WILLIAMSVILLE, NY 14221-2749
(716) 688-7712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
057971
NY
1223P0221X
Pediatric Dentistry
Primary
040579
NY
1223P0221X
Pediatric Dentistry
045762
NY
1223P0221X
Pediatric Dentistry
31086
NY
1223P0700X
Prosthodontics
058438
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
050946
NY
Other
Enumeration date
10/10/2017
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us