# CREEKSIDE FAMILY DENTAL CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558761874
- **Authorized official:** WILLIAM D FOSTER D.D.S. (PRESIDENT/OWNER)
- **Authorized official phone:** (931) 388-3384

## Contact information

- **Practice address:** 706 LION PKWY, COLUMBIA, TN 38401-4721
- **Practice address phone:** (931) 388-3384
- **Practice address fax:** (931) 388-1250
- **Mailing address:** 706 LION PKWY, COLUMBIA, TN 38401-4721
- **Mailing address phone:** (931) 388-3384
- **Mailing address fax:** (931) 388-1250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4491 | TN | Yes |

## Other

- **Enumeration date:** 08/25/2014
- **Last updated:** 08/25/2014