ALPHA DENTAL PLLC NPI 1861560815

NPI Information

NPI: 1861560815
Provider Name: ALPHA DENTAL, PLLC
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 2485 FORT CAMPBELL BLVD
STE 101
CLARKSVILLE, TN
ZIP 37042
Phone: (931) 431-0200

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NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	7505	TENNESSEE	No
2	1223G0001X	Dentist	General Practice	8672	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	543902	OTHER	TENNESSEE	UNITED CONCORIDA NUMBER
2	3164063	OTHER	TENNESSEE	BCBS OF TN IDENTIFER
3	=========	OTHER	TENNESSEE	TAX ID#
4	7505	OTHER	TENNESSEE	DOCTORS 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: 11/21/2025

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