| Sango Family Dentistry | |
|
1011 Highway 76 Ste B Clarksville TN 37043-2531 | |
| (931) 553-0106 | |
| (931) 553-0336 |
| Full Name | Sango Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1011 Highway 76 Ste B, Clarksville, Tennessee |
| Authorized Official Name and Position | Mark A Hower (OWNER) |
| Authorized Official Contact | 9166621706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sango Family Dentistry 1011 Highway 76 Ste B Clarksville TN 37043-2531 Ph: (931) 553-0106 | Sango Family Dentistry 1011 Highway 76 Ste B Clarksville TN 37043-2531 Ph: (931) 553-0106 |
| NPI Number | 1639564628 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 04/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639564628 | NPI | - | NPPES |
| 1871680744 | Other | TN | NPI |
| 1851649370 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS0000009834 (Tennessee) | Secondary |
| 1223G0001X | Dentist - General Practice | DS0000007508 (Tennessee) | Primary |
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