# CREATIVE DENTISTRY P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1881865509
- **Authorized official:** DR. JUANITA ANDRE ROUSE DDS (OWNER/ DENTIST)
- **Authorized official phone:** (615) 321-0922

## Contact information

- **Practice address:** 113 23RD AVE N, NASHVILLE, TN 37203-1701
- **Practice address phone:** (615) 321-0922
- **Practice address fax:** (615) 329-9343
- **Mailing address:** 113 23RD AVE N, NASHVILLE, TN 37203-1701
- **Mailing address phone:** (615) 321-0922
- **Mailing address fax:** (615) 329-9343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4670 | TN | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4464 | TN | — |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 03/24/2008