Organization
CONTEMPORARY DENTAL COSMETIC & FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK REID D.D.S. (DENTIST)
(615) 866-9109
Entity
Organization
Contact information
Practice address
RICHARDS RD, SUITE 103, ANTIOCH, TN 37013
(615) 866-9109
(615) 866-9147
Mailing address
940 RICHARDS RD, SUITE 103, ANTIOCH, TN 37013-3288
(615) 866-9109
(615) 866-9147
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS 8159
TN
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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