Provider Demographics
NPI:1285734731
Name:KREUL, WILLIAM (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:KREUL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:ANTHONY
Other - Last Name:KREUL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2600 JERALD DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-5512
Mailing Address - Country:US
Mailing Address - Phone:410-668-8646
Mailing Address - Fax:
Practice Address - Street 1:8109 HARFORD ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234
Practice Address - Country:US
Practice Address - Phone:410-665-0877
Practice Address - Fax:410-665-7064
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07526183500000X
MD6158122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD3928OtherBLUE CROSS BLUE SHIELD