# CONTEMPORARY DENTAL COSMETIC & FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1831362516
- **Authorized official:** DR. DERRICK REID D.D.S. (DENTIST)
- **Authorized official phone:** (615) 866-9109

## Contact information

- **Practice address:** RICHARDS RD, SUITE 103, ANTIOCH, TN 37013
- **Practice address phone:** (615) 866-9109
- **Practice address fax:** (615) 866-9147
- **Mailing address:** 940 RICHARDS RD, SUITE 103, ANTIOCH, TN 37013-3288
- **Mailing address phone:** (615) 866-9109
- **Mailing address fax:** (615) 866-9147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS 8159 | TN | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 04/02/2008