Provider Demographics
NPI:1881486413
Name:MITCHELL-CREER, SENECA DARNELLE (RDA X2)
Entity type:Individual
Prefix:MRS
First Name:SENECA
Middle Name:DARNELLE
Last Name:MITCHELL-CREER
Suffix:
Gender:F
Credentials:RDA X2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 ROSEMONT DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-1505
Mailing Address - Country:US
Mailing Address - Phone:214-773-6787
Mailing Address - Fax:
Practice Address - Street 1:1204 ROSEMONT DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-1505
Practice Address - Country:US
Practice Address - Phone:214-773-6787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant