DR. CHRISTOPHER ERIC CRECELIUS (NPI# 1447486170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447486170 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER ERIC CRECELIUS |
| Credential | DDS |
| Practice Address |
Uss Abraham Lincoln (cvn72) Dental Division Fpo AP 96612-2872 |
| Mailing Address |
330 E Anderson Rd Sequim WA 98382-8075 |
| Practice Telephone | 3604602452 |
| Mailing Telephone | 3606837711 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
025103 DE0000888 | WA | Dental Providers |
| Street Address |
USS ABRAHAM LINCOLN (CVN72) DENTAL DIVISION |
| City | FPO |
| State | AP |
| Zip Code | 96612-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508049818 | Monica J Brown | Military Health Care Provider | Uss Abraham Lincoln, Health Services Medical Division, Fpo, AP 96612 | 2007-12-10 |
| 1639428667 | Wade Robert Kernan | Military Health Care Provider | Uss Abraham Lincoln, Cvn 72, Fpo, AP 96612-2872 | 2012-09-06 |
| 1184900839 | Nnamdi Glenn Ohaeri Sr. | Psychologist | Uss Abraham Lincoln, Cvn 72 Unit 100349, Fpo, AE 09520 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447213665 | James Arthur Lessard | Physician Assistant | Uss Abraham Lincoln # 72, Fpo, AP 96612-2872 | 2006-04-10 |
| 1487621942 | Tim Andrew Coffey | Military Health Care Provider | Medical Department Uss Abraham Lincoln, Fpo-ap, Everett, WA 96612-2872 | 2006-03-03 |
| 1720064611 | Richard P. Campbell | Dentist | Uss Abraham Lincoln (cvn 72), Fpo, AP 96612-2872 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899853 | London Mingo | Social Worker | 2769 Yaka Kin Cho, Fpo, AP 96388-0071 | 2020-10-21 |
| 1538768833 | James Blake Weldon | Military Health Care Provider | Unit 100517 Bx 1, Fpo, AP 09655 | 2020-10-19 |
| 1487260311 | Doria Living | Registered Nurse | Ushno, Fpo, AP 96367 | 2020-09-16 |
| 1225643307 | Brice Blahnik | Dentist | 1 St Dental Battalion/naval Dental Center Attn: Medical, Bldg 2238 A Ave Camp Pendleton, Ca. 92055-5221, Fpo, AA 92055-5221 | 2020-09-15 |
| 1609489061 | Genesis Health Care Inc | Home Health | Uss Wasp Lhd1 Unit 100261, Fpo, AE 09514 | 2020-08-26 |
| 1669081857 | Acacia L Elmer | Registered Nurse | Psc 808 Box 3104, Fpo, AE 09618-0032 | 2020-07-24 |
| 1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
| 1518581776 | Taylor D Benson | Audiologist | Building 960, Floor 3, East Wing, Fpo, AP 96362-0017 | 2020-06-03 |
| 1740803279 | Issa Khalil | Military Health Care Provider | Uss Donald Cook, Fpo, AE 09566 | 2020-05-19 |
| 1295360055 | Kiran Kumar Gurung | Dental Hygienist | Uss Bataan (lhd-5), Fpo, AE 09554-1657 | 2020-03-11 |
| Find all providers in FPO | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710266044 | Daniel John Fisher | Dentist | Medical Staff Services, Bldg H 2005 Knight Lane, Fpo, AA 32212 | 2011-08-04 |
| 1114229317 | Brian David Evans | Dentist | Uss Carl Vinson Cvn70, Unit 1000111 Box 1770, Fpo, AP 96629 | 2010-11-22 |
| 1417001835 | Uss Dwight D Eisenhower Cvn 69 | Dentist | Uss Dwight Eisenhower, Dental, Fpo, AE 09532 | 2007-01-23 |
| 1801859905 | Darius A Richardson | Dentist | Box 9095, Fpo, AP 96538 | 2006-04-10 |
| 1144209412 | Daniel P. Clifford | Dentist | Naval Hospital Okinawa, Psc 482 Box 1600, Fpo, AP 96362 | 2006-01-13 |
| 1801875836 | James B. Mazock | Dentist | Psc 819, Box 18-133, Fpo, SPAIN AE | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548222730 | Ronald Edward Prenzel | Dentist | B Co, 121 Csh, Unit 15244, Box 947, Apo, AP 96205 | 2006-04-04 |
| 1750366738 | Jose Miguel Santiago-cummings | Dentist | 618th Dental Company (as), Unit #15652, Apo, AP 96205-5652 | 2005-12-13 |
| 1770808875 | Christopher John Fries | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2010-03-31 |
| 1629054473 | James Eli Vangilder Iv | Dentist | 18th Dental Squadron, Unit 5270, Apo, AP 96368-5270 | 2005-12-22 |
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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.