Creech, Grace Jerome

Creech, Grace Jerome is an individual health care provider with primary practice located at 1749 Massachusetts Ave , Cambridge MA 02140-2217. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Creech, Grace Jerome can be contacted via phone (617) 491-1161.

Contact Information

Primary practice address
1749 Massachusetts Ave Cambridge MA 02140-2217
Phone: (617) 491-1161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN1857672 Massachusetts

Profile Details

NPI number 1619497856
LBN Legal business name Creech, Grace Jerome
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2017
Last updated Sep 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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