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ALPHA DENTAL PLLC NPI 1861560815


NPI Information

NPI: 1861560815
Provider Name: ALPHA DENTAL, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2485 FORT CAMPBELL BLVD
STE 101
CLARKSVILLE, TN
ZIP 37042
Phone: (931) 431-0200
Get Directions

ALPHA DENTAL, 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. ALPHA DENTAL, PLLC NPI is 1861560815. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2485 FORT CAMPBELL BLVD
STE 101
CLARKSVILLE, TN
ZIP 37042
Phone: (931) 431-0200
Fax: (931) 431-3022

The provider's authorized official is Matthew Palomaki .
The authorized official title is Owner and has the following contact phone number (931) 431-0200.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 3/31/2016.


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 Practice7505TENNESSEENo
21223G0001XDentistGeneral Practice8672TENNESSEEYes

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
1543902OTHERTENNESSEEUNITED CONCORIDA NUMBER
23164063OTHERTENNESSEEBCBS OF TN IDENTIFER
3=========OTHERTENNESSEETAX ID#
47505OTHERTENNESSEEDOCTORS STATE LICENSE #

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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