Ironwood Dental | |
2550 Madison St Clarksville TN 37043-3704 | |
(931) 220-9905 | |
Not Available |
Full Name | Ironwood Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 2550 Madison St, Clarksville, Tennessee |
Authorized Official Name and Position | Jonathan Spurgeon (OWNER) |
Authorized Official Contact | 9312209905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ironwood Dental 2550 Madison St Ste C Clarksville TN 37043-5412 Ph: (931) 291-6530 | Ironwood Dental 2550 Madison St Clarksville TN 37043-3704 Ph: (931) 220-9905 |
NPI Number | 1417557380 |
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Provider Enumeration Date | 10/29/2020 |
Last Update Date | 11/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417557380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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