Provider Demographics
NPI:1427106517
Name:CREAL, ALBERT FRANKLIN JR (DDS)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:FRANKLIN
Last Name:CREAL
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12695 MCMANUS BLVD.
Mailing Address - Street 2:BUILDING 3 SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-4457
Mailing Address - Country:US
Mailing Address - Phone:757-898-6060
Mailing Address - Fax:757-898-6077
Practice Address - Street 1:12695 MCMANUS BLVD
Practice Address - Street 2:BUILDING 3 SUITE A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4435
Practice Address - Country:US
Practice Address - Phone:757-898-6060
Practice Address - Fax:757-898-6077
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010049941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice