Provider Demographics
NPI:1811151863
Name:CREATO, ANNIE (DMD)
Entity type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:
Last Name:CREATO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S CHESTER RD
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081
Mailing Address - Country:US
Mailing Address - Phone:610-627-1199
Mailing Address - Fax:610-627-1886
Practice Address - Street 1:700 S CHESTER RD
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081
Practice Address - Country:US
Practice Address - Phone:610-627-1199
Practice Address - Fax:610-627-1886
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023734001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry