| Restorative Dental Associates | |
|
237a Dunbar Cave Rd Clarksville TN 37043-5734 | |
| (931) 648-0604 | |
| (931) 648-0605 |
| Full Name | Restorative Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 237a Dunbar Cave Rd, Clarksville, Tennessee |
| Authorized Official Name and Position | Thomas K Hartz (OWNER PRESIDENT) |
| Authorized Official Contact | 9316480604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Dental Associates 237a Dunbar Cave Rd Clarksville TN 37043-5734 Ph: (931) 648-0604 | Restorative Dental Associates 237a Dunbar Cave Rd Clarksville TN 37043-5734 Ph: (931) 648-0604 |
| NPI Number | 1083605521 |
|---|---|
| Provider Enumeration Date | 11/03/2005 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083605521 | NPI | - | NPPES |
| 0016171 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS3159 (Tennessee) | Primary |
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