DIANE J CREEDON
NPI 1225488984
Dental Hygienist in Fort Detrick, MD

Active since June 14, 2016
1434 PORTER STREET, FORT DETRICK, MD 21702(301) 619-7675 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 7, 2022, Jun 14, 2016 (2 updates tracked since 2016).

About Diane J Creedon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE J CREEDON (NPI 1225488984) is an individual dental hygienist in Fort Detrick, Maryland, licensed in Florida (DH15181) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1225488984
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameDIANE J CREEDON
Location Address1434 PORTER STREETFort Detrick, MD 21702
Mailing Address1434 Porter StreetFort Detrick, MD 21702 · (301) 619-7675
Sole ProprietorYes
Enumeration DateJune 14, 2016
Last NPPES UpdateJune 7, 20222 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
NPI 1225488984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in FL · DH15181
Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

1434 PORTER STREET, Fort Detrick, MD 21702

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1434 PORTER STREET, USA DENTAL CLINIC
FT DETRICK, MD 21702
Internal Medicine
1434 PORTER STREET, BARQUIST ARMY HEALTH CARE FACILITY
FREDERICK, MD 21702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225488984, enumerated as an "individual" on June 14, 2016.

The provider is located at 1434 PORTER STREET FORT DETRICK, MD 21702 and the phone number is (301) 619-7675.

Dental Hygienist with taxonomy code 124Q00000X.