K. Darrel Clabough Dds, P.c. | |
1565 Salem Loop Greenback TN 37742-3201 | |
(865) 803-9100 | |
(865) 982-0118 |
Full Name | K. Darrel Clabough Dds, P.c. |
---|---|
Speciality | Dentist |
Location | 1565 Salem Loop, Greenback, Tennessee |
Authorized Official Name and Position | Kenneth Darrel Clabough (OWNER/PROVIDER) |
Authorized Official Contact | 8659830941 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
K. Darrel Clabough Dds, P.c. 310 Sanderson St Alcoa TN 37701-2428 Ph: (865) 983-0941 | K. Darrel Clabough Dds, P.c. 1565 Salem Loop Greenback TN 37742-3201 Ph: (865) 803-9100 |
NPI Number | 1043631401 |
---|---|
Provider Enumeration Date | 01/02/2014 |
Last Update Date | 01/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043631401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3957 (Tennessee) | Primary |