Organization
CREEKSIDE FAMILY DENTAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D FOSTER D.D.S. (PRESIDENT/OWNER)
(931) 388-3384
Entity
Organization
Contact information
Practice address
706 LION PKWY, COLUMBIA, TN 38401-4721
(931) 388-3384
(931) 388-1250
Mailing address
706 LION PKWY, COLUMBIA, TN 38401-4721
(931) 388-3384
(931) 388-1250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4491
TN
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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