Individual
DR. KENNARD WILLIAM CREASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
333 A JACKSON, GRAND HAVEN, MI 49417
(616) 842-0822
(616) 842-0955
Mailing address
333 A JACKSON, GRAND HAVEN, MI 49417
(616) 842-0822
(616) 842-0955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011283
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4042439
—
MI
Enumeration date
11/17/2006
Last updated
07/08/2007
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