institution
Clarksville Pediatric Dentistry, Pc
Pediatric Dentist in Clarksville, Tennessee
NPI 1194045617

Clarksville Pediatric Dentistry, Pc is a Pediatric Dentist based in Clarksville, TN and is specialized in Pediatric Dentistry. Clarksville Pediatric Dentistry, Pc practices in Clarksville, TN. The NPI Number for Clarksville Pediatric Dentistry, Pc is 1194045617 and holds a License No. (Tennessee).

The current practice location address for Clarksville Pediatric Dentistry, Pc is 2297 Rudolphtown Rd, Clarksville, TN and can be reached out via phone at 931-245-3333 and via fax at 931-245-3334. You can also correspond with Clarksville Pediatric Dentistry, Pc through the mailing address at 2297 RUDOLPHTOWN RD, CLARKSVILLE, TN - 37043-2226 (mailing address contact number: 931-245-3333).

Location: 2297 Rudolphtown Rd, Clarksville, TN, 37043-2226
institution
Provider Profile Details
NPI Number
1194045617
Provider Name
Clarksville Pediatric Dentistry, Pc
Credential
Provider Entity Type
Organization
Address
2297 Rudolphtown Rd, Clarksville, TN, 37043-2226
Phone Number
931-245-3333
Fax Number
931-245-3334
Provider Enumeration Date
06/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0160078 01 TN BLUE CROSS BLUE SHIELD OF TN
823192 01 TN UNITED CONCORDIA
112051 01 TN TENNCARE LOCATION NUMBER
institution
Provider Business Practice Location Address Details
Address
2297 Rudolphtown Rd
City
State
Zip
37043-2226
Phone Number
931-245-3333
Fax Number
931-245-3334
person
Provider Business Mailing Address Details
Address
2297 Rudolphtown Rd
City
State
Zip
37043-2226
Phone Number
931-245-3333
Fax Number
931-245-3334
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
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Definition
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.
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