DR. GRACE JEROME CREECH (NPI# 1619497856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619497856 |
| Entity Type | Individual |
| Full Name | DR. GRACE JEROME CREECH |
| Credential | DMD |
| Practice Address |
1749 Massachusetts Ave Cambridge MA 02140-2217 |
| Mailing Address |
25 Clarendon St Ste 1 Malden MA 02148-7613 |
| Practice Telephone | 6174911161 |
| Mailing Telephone | 6179096048 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN1857672 | MA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Kneeland St, Boston, MA 021111527 | 6176366887 |
| Street Address |
1749 MASSACHUSETTS AVE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02140-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265583348 | George Wellington Mceachern IIi | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2007-01-15 |
| 1003229543 | Fatima Pirzada Aziz | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140 | 2014-06-03 |
| 1871743187 | Ronald W. Smith, D.d.s., P.C. | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2008-09-23 |
| 1043488463 | Albert Ray Duarte | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2008-02-19 |
| 1710030986 | Cambridge Pediatric Dental Associates, P.C. | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2007-01-19 |
| 1417009796 | Sara Louise Filstrup | Dentist | 1749 Massachusetts Ave, Cambridge, MA 02140-2217 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
| 1356976625 | Jennifer Ahonen | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-03-07 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1992225015 | Figen Esen | Student in an Organized Health Care Education/Training Program | 160 Cabridgepark Drive, Apt 295, Cambridge, MA 02140 | 2017-06-20 |
| 1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
| 1740555366 | Aesook Kwon | Registered Nurse | 1493 Cambrige St, Cambridge Hospital, Cambrige, MA 02140 | 2012-03-14 |
| 1740557743 | In Sync Physical Therapy, LLC | Clinic/Center | 1798a Massachusetts Avenue, Suite 2, Cambridge, MA 02140 | 2011-11-19 |
| Find all providers in zip 02140 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851890776 | Pramod Soparkar | Dentist | The Forsyth Institute, 245 First St, Cambridge, MA 02142 | 2018-02-06 |
| 1720445331 | Ahmed Keles | Dentist | 245 First St Cambridge, 17th Floor, Cambridge, MA 02142 | 2016-01-27 |
| 1679835292 | Karen Milkosky Curran | Dentist | 21 Lee St Apt 1, Cambridge, MA 02139-2244 | 2012-06-10 |
| 1568731107 | Elwood Marston Jones IIi | Dentist | 28 Bellevue Ave, Cambridge, MD 21613-1252 | 2011-12-28 |
| 1548584659 | Orthodontics of Cambridge, PC | Dentist | 186 Concord Avenue, Cambridge, MA 02138-2318 | 2010-03-18 |
| 1720245228 | Nelson and Hertzberg Orthodontics of Cambridge LLC | Dentist | 186 Concord Ave, Cambridge, MA 02138-2318 | 2008-05-21 |
| 1407025521 | Bradley Lee Videen | Dentist | 140 Birch St N Ste 106, Cambridge, MN 55008-1547 | 2008-02-22 |
| 1124244603 | Cambridge Orthodontics Pa | Dentist | 140 Birch St N, #106, Cambridge, MN 55008 | 2007-04-17 |
| 1841344934 | Brent Lee Harris | Dentist | 61121 Southgate Rd, Cambridge, OH 43725-8533 | 2007-01-23 |
| 1215040274 | Robert Agnew Toomey | Dentist | 417 Academy St, Cambridge, MD 21613-1808 | 2006-08-16 |
| Find all providers in CAMBRIDGE | ||||
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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.