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CREATIVE SMILES FAMILY DENTISTRY
NPI 1013190149
Clinic/Center - Dental in Rutherford, TN

Active since December 12, 2007
608 S TRENTON ST, RUTHERFORD, TN 38369(731) 665-7240(731) 665-7268 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Creative Smiles Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATIVE SMILES FAMILY DENTISTRY (NPI 1013190149) is a healthcare organization registered as a dental in Rutherford, Tennessee and active in the NPI registry since December 2007. The organization lists Warren Fred Stovall, Dentist/ Owner, as its authorized official.

NPPES Registry Identity

NPI1013190149
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCREATIVE SMILES FAMILY DENTISTRY
Location Address608 S TRENTON STRutherford, TN 38369-9715
Mailing AddressPo Box 38, 608 S. Trenton StRutherford, TN 38369-0038 · (731) 665-7240 · Fax (731) 665-7268
Phone(731) 665-7240
Fax(731) 665-7268
Organization SubpartNo
Authorized OfficialWarren Fred StovallDentist/ Owner · (731) 665-7240
Enumeration DateDecember 12, 2007
✔ NPI 1013190149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in TN · 7612
608 S TRENTON ST, Rutherford, TN 38369
Open in Google Maps ↗

Other Identifiers 3

Other3130925TN · Blue Cross Blue Shield
Medicaid5440713TN
Other9181903TN · Doral Dental

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMY THERIAC DUNCAN DDS
Dentist
608 S TRENTON ST
RUTHERFORD, TN 38369
Gibson County (731) 665-6650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creative Smiles Family Dentistry's NPI number?

The NPI number for Creative Smiles Family Dentistry is 1013190149. It was assigned to this organization in the NPPES registry on December 12, 2007.

Where is Creative Smiles Family Dentistry located?

Creative Smiles Family Dentistry is located at 608 S Trenton St, Rutherford, TN 38369. The listed phone number is (731) 665-7240.

What is Creative Smiles Family Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Creative Smiles Family Dentistry was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.