Hometown Dentistry Pllc | |
120 Medical Ct Clarksville TN 37043-4602 | |
(931) 249-9171 | |
Not Available |
Full Name | Hometown Dentistry Pllc |
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Speciality | Clinic/center - Dental |
Location | 120 Medical Ct, Clarksville, Tennessee |
Authorized Official Name and Position | Jeremy A Fowler (OWNER) |
Authorized Official Contact | 9312499171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hometown Dentistry Pllc 120 Medical Ct Clarksville TN 37043-4602 Ph: (931) 249-9171 | Hometown Dentistry Pllc 120 Medical Ct Clarksville TN 37043-4602 Ph: (931) 249-9171 |
NPI Number | 1982427225 |
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Provider Enumeration Date | 11/05/2024 |
Last Update Date | 11/05/2024 |
Identifier | Type | State | Issuer |
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1982427225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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