# SUSAN B CREECH DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COLLINS CREECH AND SHEPHERD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326368382
- **Authorized official:** DR. SUSAN B. CREECH DDS (OWNER)
- **Authorized official phone:** (423) 239-7471

## Contact information

- **Practice address:** 4621 FORT HENRY DR, KINGSPORT, TN 37663-2616
- **Practice address phone:** (423) 239-7471
- **Practice address fax:** (423) 726-2304
- **Mailing address:** 4621 FORT HENRY DR, KINGSPORT, TN 37663-2616
- **Mailing address phone:** (423) 239-7471
- **Mailing address fax:** (423) 726-2304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS00008278 | TN | Yes |

## Other

- **Enumeration date:** 06/01/2010
- **Last updated:** 06/01/2010