Organization · Type 2 NPI
Creative Smiles Family Dentistry
Dental Clinic/Center · Rutherford, TN
NPI number
1013190149
Active
Practice location
608 S Trenton St
Rutherford, TN 38369-9715
Fax (731) 665-7268
Mailing address
PO Box 38, 608 S. Trenton St
Rutherford, TN 38369-0038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 7612 (TN) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1013190149
Creative Smiles Family Dentistry's National Provider Identifier is 1013190149, issued on Dec 12, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rutherford, TN. The record was last updated on Dec 12, 2007.