DR. CRYSTAL GILREATH RUCKER D.M.D. NPI 1962560631

NPI Information

NPI: 1962560631
Provider Name: DR. CRYSTAL GILREATH RUCKER, D.M.D.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
2622 MADISON ST STE G
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 919-4898
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DR. Crystal Gilreath Rucker, D.M.D. is a pediatric dentistry dentist in Clarksville, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Crystal Gilreath Rucker, D.M.D. NPI is 1962560631. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2622 MADISON ST STE G
CLARKSVILLE, TN
ZIP 37043-555
Phone: (931) 919-4898
Fax: (931) 919-4897

The enumeration date for this NPI number is 12/5/2006 and was last updated on 10/30/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	8466	TENNESSEE	Yes
2	1223P0221X	Dentist	Pediatric Dentistry	DS8466	TENNESSEE	No

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

NPI Synchronization or Removal

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