DIANE J CREEDON (NPI# 1225488984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225488984 |
| Entity Type | Individual |
| Full Name | DIANE J CREEDON |
| Practice Address |
8476 Simonds Street Ste 5700 Fort George G. Meade MD 20755 |
| Practice Telephone | 3016776122 |
| Practice Fax Number | 3016775710 |
| Mailing Telephone | 3016776122 |
| Mailing Fax Number | 3016775710 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH151181 | FL | Dental Providers |
| Street Address |
8476 SIMONDS STREET STE 5700 |
| City | FORT GEORGE G. MEADE |
| State | MD |
| Zip Code | 20755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073965588 | Laura Pierce | Dental Hygienist | 8476 Simonds Street, Ste 5700, Fort George G. Meade, MD 20755 | 2016-07-08 |
| 1134571656 | Melizabeth Padron | Dental Assistant | 8476 Simonds Street, Ste 5700, Fort George G. Meade, MD 20755 | 2016-07-08 |
| 1972955508 | Amber Doty | Dental Assistant | 8476 Simonds Street, Fort George G. Meade, MD 20755 | 2016-07-07 |
| 1629420294 | Cleon Henderson | Dental Assistant | 8476 Simonds Street, Ste 5700, Fort George G. Meade, MD 20755 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451216 | Patrick Hoye | Dentist | 8472 Simonds Street, Epes Dental Clinic, Ft. Meade, MD 20755 | 2017-08-01 |
| 1982150561 | Martha Davis | Technician | 2553 Hartel St, Fort Meade, MD 20755 | 2016-09-01 |
| 1649725995 | Jaclyn Leith | Psychologist | 2479 5th St., Ft. Meade, MD 20755 | 2016-08-16 |
| 1548613417 | Catherine Geller | Dental Hygienist | 8476 Simonds St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-07-15 |
| 1396194510 | Cristina Ribeiro | Dental Hygienist | 8476 Simond St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1508215765 | Nicole Ferris | Dental Hygienist | 8476 Simond St Ste 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1487031548 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Rose Street, Bldg 2799, Ft Meade, MD 20755 | 2015-04-28 |
| 1801206685 | Kimbrough Acc Military Mtf | Pharmacy | 2799 Rose Street, Ft Meade, MD 20755 | 2014-05-02 |
| 1578980744 | Claudia Goleburn | Psychologist | 2479 5th St, Ft Meade, MD 20755 | 2014-03-25 |
| 1093063158 | Michael Elsworth Yapp | Pharmacist | 24180 Llewellyn Avenue, Fort Meade, MD 20755 | 2012-08-21 |
| Find all providers in zip 20755 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548613417 | Catherine Geller | Dental Hygienist | 8476 Simonds St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-07-15 |
| 1396194510 | Cristina Ribeiro | Dental Hygienist | 8476 Simond St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1508215765 | Nicole Ferris | Dental Hygienist | 8476 Simond St Ste 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1073965588 | Laura Pierce | Dental Hygienist | 8476 Simonds Street, Ste 5700, Fort George G. Meade, MD 20755 | 2016-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907190 | Laura Ann Smith | Dental Hygienist | 2500 Wallington Way Ste 204, Marriottsville, MD 21104-1507 | 2020-09-22 |
| 1164036075 | Seemaben D Kamdar | Dental Hygienist | 3939 Ballet Way, Burtonsville, MD 20866-1305 | 2020-09-08 |
| 1336766922 | Kesha Sherise Keys | Dental Hygienist | 5 Fig Ct Apt B, Annapolis, MD 21402-1009 | 2020-06-29 |
| 1467075523 | Jennifer Stoehr | Dental Hygienist | 37 Maryland Ave Unit 543, Rockville, MD 20850-2463 | 2020-05-24 |
| 1033746185 | Cynthia Ann Finfrock | Dental Hygienist | 650 W Baltimore St Rm 2202, Baltimore, MD 21201-1510 | 2020-03-26 |
| 1679108484 | Natanya Broadway | Dental Hygienist | 5410 Lynx Ln Ste 290, Columbia, MD 21044-2483 | 2020-03-12 |
| 1750916029 | Baohien Ngocchu Gupta | Dental Hygienist | 8120 Woodmont Ave Ste 110, Bethesda, MD 20814-2743 | 2020-03-07 |
| 1730713207 | Nicoletta Avgeropoulos | Dental Hygienist | 9620 Greenel Rd, Damascus, MD 20872-2396 | 2020-02-24 |
| 1164060984 | Elizabeth Marie Hafer | Dental Hygienist | 3509 Husted Dr, Chevy Chase, MD 20815-5628 | 2019-12-11 |
| 1427690668 | Jihyun Yoon | Dental Hygienist | 6455 Machine St Building 4501, Aberdeen Proving Ground, MD 21005-1952 | 2019-10-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT GEORGE G. MEADE |
| Zip Code | 20755 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.