# RICHLAND CREEK DENTAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stonetrace Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215654850
- **Authorized official:** CHRISTINA SANDOVAL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (505) 604-4986

## Contact information

- **Practice address:** 2441 OLD FORT PKWY STE L, MURFREESBORO, TN 37128-4162
- **Practice address phone:** (615) 962-9357
- **Mailing address:** 2441 OLD FORT PKWY STE L, MURFREESBORO, TN 37128-4162
- **Mailing address phone:** (615) 962-9357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2022
- **Last updated:** 10/25/2022