Organization
SPRING CREEK DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA GOODMAN (OFFICE MANAGER)
(423) 499-9300
Entity
Organization
Contact information
Practice address
6102 SHALLOWFORD RD, SUITE 101, CHATTANOOGA, TN 37421-1684
(423) 499-9300
(423) 499-9746
Mailing address
6102 SHALLOWFORD RD, SUITE 101, CHATTANOOGA, TN 37421-1684
(423) 499-9300
(423) 499-9746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS4019
TN
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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