Creekside Dental, LLC.
NPI 1396459376ActiveOrganization· Dentist· Newark, DE
Dentist in Newark, Delaware, registered in NPPES in January 2023. The authorized official on file is Kellie Jean Cernobyl, Chief Operating Officer.
Overview
| NPI | 1396459376 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2023 |
| Last updated in NPPES | Jan 13, 2023 |
| Certified by provider | Jan 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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