Susan B Creech DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS00008278 Issued in TN

Legal business name

SUSAN B CREECH DDS PLLC

Doing business as

COLLINS CREECH AND SHEPHERD

Practice address

4621 Fort Henry Dr
Kingsport, TN 37663-2616

Phone

(423) 239-7471

Fax

(423) 726-2304

NPI assigned

Jun 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susan B. Creech, DDS

Title

Owner

Phone

(423) 239-7471

Specialties & licenses 1

Addresses

Other names 1

• COLLINS CREECH AND SHEPHERD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William M Shepherd, DDS

  • General Practice Dentistry
  • Kingsport, TN
  • NPI 1487759718
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1326368382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632616",
            "telephone_number": "423-239-7471",
            "fax_number": "423-726-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632616",
            "telephone_number": "423-239-7471",
            "fax_number": "423-726-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN B CREECH DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-239-7471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS00008278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLINS CREECH AND SHEPHERD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summit Medical Group PLLC
• Zachary Linuel Sumpter, D.O.
• Sunrise Healthcare Corporation
• Sunshine Pediatrics PLLC
• Surgical Associates of Kingsport, Inc
• Jonathan Spencer Suther, M.D.
• Laura Sutherland
• Briana Christine Swanson, AUD
• Carrie Alan Sweet, RPH
• James A Swenson, M.D.

• General Practice Dentistry in Kingsport, TN
• Providers in Kingsport, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.