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AFFORDABLE DENTAL INCORPORATED NPI 1619128865


NPI Information

NPI: 1619128865
Provider Name: AFFORDABLE DENTAL INCORPORATED
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1833 MEMORIAL DR.
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 645-8575
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AFFORDABLE DENTAL INCORPORATED 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. AFFORDABLE DENTAL INCORPORATED NPI is 1619128865. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1833 MEMORIAL DR.
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 645-8575
Fax: (931) 645-8120

The provider's authorized official is Sabin K Ewing .
The authorized official title is Pediatric Dentist and has the following contact phone number (931) 645-8575.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 3/9/2017.


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 Practice8588TENNESSEENo
21223P0221XDentistPediatric Dentistry7907TENNESSEENo
31223S0112XDentistOral and Maxillofacial Surgery9072TENNESSEENo
41223G0001XDentistGeneral Practice9738TENNESSEEYes

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
11497084057OTHERTENNESSEEINDIVIDUAL NPI
2Q001138MEDICAIDTENNESSEE
31517610MEDICAIDTENNESSEE
41083749055OTHERTENNESSEEINDIVIDUAL NPI
55440034MEDICAIDTENNESSEE
61275895724OTHERTENNESSEEINDIVIDUAL NPI
71841292737OTHERTENNESSEEINDIVIDUAL NPI

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

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