| Creekside Family Dental Center Pc | |
|
706 Lion Pkwy Columbia TN 38401-4721 | |
| (931) 388-3384 | |
| (931) 388-1250 |
| Full Name | Creekside Family Dental Center Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 706 Lion Pkwy, Columbia, Tennessee |
| Authorized Official Name and Position | William D Foster (PRESIDENT/OWNER) |
| Authorized Official Contact | 9313883384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Family Dental Center Pc 706 Lion Pkwy Columbia TN 38401-4721 Ph: (931) 388-3384 | Creekside Family Dental Center Pc 706 Lion Pkwy Columbia TN 38401-4721 Ph: (931) 388-3384 |
| NPI Number | 1558761874 |
|---|---|
| Provider Enumeration Date | 08/25/2014 |
| Last Update Date | 08/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558761874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4491 (Tennessee) | Primary |
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