Provider Demographics
NPI:1144214347
Name:FORSTER, TERI DIANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERI
Middle Name:DIANE
Last Name:FORSTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 LEWIS CT
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-5161
Mailing Address - Country:US
Mailing Address - Phone:615-860-0816
Mailing Address - Fax:615-341-0039
Practice Address - Street 1:1915 CHURCH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2203
Practice Address - Country:US
Practice Address - Phone:615-341-0037
Practice Address - Fax:615-341-0039
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS72811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice