# SPRING CREEK FAMILY DENTISTRY & ORTHODONTICS

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

## Provider details

- **NPI number:** 1881923654
- **Authorized official:** BERNIE E. CHISHOLM (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (540) 832-3232

## Contact information

- **Practice address:** 34 JEFFERSON COURT, GORDONSVILLE, VA 22942
- **Practice address phone:** (540) 832-3232
- **Mailing address:** 34 JEFFERSON COURT, GORDONSVILLE, VA 22942
- **Mailing address phone:** (540) 832-3232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 04010495 | VA | Yes |

## Other

- **Enumeration date:** 12/08/2009
- **Last updated:** 09/23/2015