Individual
DR. JOHN LEWIS CREECH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7980 NEW LAGRANGE RD, UNIT #2, LOUISVILLE, KY 40222-4767
(502) 412-3636
Mailing address
7980 NEW LAGRANGE RD, UNIT #2, LOUISVILLE, KY 40222-4767
(502) 412-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
KY5516
KY
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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