| Renew Dental | |
|
1835 Madison St Ste A Clarksville TN 37043-6547 | |
| (931) 291-9373 | |
| Not Available |
| Full Name | Renew Dental |
|---|---|
| Speciality | Dentist |
| Location | 1835 Madison St Ste A, Clarksville, Tennessee |
| Authorized Official Name and Position | Dani Gray (OWNER) |
| Authorized Official Contact | 3147997898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Dental 1835 Madison St Ste A Clarksville TN 37043-6547 Ph: (931) 291-9373 | Renew Dental 1835 Madison St Ste A Clarksville TN 37043-6547 Ph: (931) 291-9373 |
| NPI Number | 1851924369 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851924369 | NPI | - | NPPES |
| 1942640750 | Other | OWNER-DENTIST | |
| 1760436729 | Other | ASSOCIATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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