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101 Union St Nashville TN 37201-1302 | |
| (615) 254-1393 | |
| (615) 313-3666 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Union St, Nashville, Tennessee |
| Authorized Official Name and Position | Jesse Daron Clark (OWNER) |
| Authorized Official Contact | 6152541393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
101 Union St Nashville TN 37201-1302 Ph: (615) 254-1393 | 101 Union St Nashville TN 37201-1302 Ph: (615) 254-1393 |
| NPI Number | 1285937912 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 12/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285937912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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