| Northcreek Dental | |
|
318 Northcreek Blvd Suite 400 Goodlettsville TN 37072-1934 | |
| (615) 239-4000 | |
| (615) 239-4004 |
| Full Name | Northcreek Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 318 Northcreek Blvd, Goodlettsville, Tennessee |
| Authorized Official Name and Position | Ted Beazley (DENTIST) |
| Authorized Official Contact | 6154266147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northcreek Dental 318 Northcreek Blvd Suite 400 Goodlettsville TN 37072-1934 Ph: (615) 239-4000 | Northcreek Dental 318 Northcreek Blvd Suite 400 Goodlettsville TN 37072-1934 Ph: (615) 239-4000 |
| NPI Number | 1396121612 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396121612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4638 (Tennessee) | Primary |
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