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CLARKSVILLE DENTAL CENTER PLLC NPI 1043388713


NPI Information

NPI: 1043388713
Provider Name: CLARKSVILLE DENTAL CENTER, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1301 PEACHERS MILL RD
CLARKSVILLE, TN
ZIP 37042
Phone: (931) 572-9152
Get Directions

CLARKSVILLE DENTAL CENTER, PLLC is a general practice dentist in Clarksville, TN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CLARKSVILLE DENTAL CENTER, PLLC NPI is 1043388713. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1301 PEACHERS MILL RD
CLARKSVILLE, TN
ZIP 37042-610
Phone: (931) 572-9152
Fax: (931) 572-9155

The provider's authorized official is Joan Dewald .
The authorized official title is Practice Administrator and has the following contact phone number (931) 572-9175.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice6850TENNESSEENo
21223G0001XDentistGeneral Practice1542TENNESSEENo
31223G0001XDentistGeneral Practice8301TENNESSEENo
41223G0001XDentistGeneral Practice8580TENNESSEENo
51223G0001XDentistGeneral Practice8275TENNESSEENo
61223G0001XDentistGeneral Practice8596TENNESSEENo
71223G0001XDentistGeneral Practice8290TENNESSEENo
81223G0001XDentistGeneral Practice8317TENNESSEENo
91223G0001XDentistGeneral Practice8259TENNESSEENo
101223G0001XDentistGeneral Practice3417TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1167716OTHERTENNESSEETENNCARE-DORAL
21833308OTHERTENNESSEEUNITED CONCORDIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.