| Sango Smiles Pediatric Dentistry | |
|
2622 Madison St Ste G Clarksville TN 37043-6555 | |
| (931) 919-4898 | |
| (931) 919-4892 |
| Full Name | Sango Smiles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2622 Madison St Ste G, Clarksville, Tennessee |
| Authorized Official Name and Position | Crystal Rucker (OWNER) |
| Authorized Official Contact | 6155574442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sango Smiles Pediatric Dentistry 7520 Lords Chapel Dr Nashville TN 37211-7040 Ph: (615) 557-4442 | Sango Smiles Pediatric Dentistry 2622 Madison St Ste G Clarksville TN 37043-6555 Ph: (931) 919-4898 |
| NPI Number | 1538679097 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 10/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538679097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8466 (Tennessee) | Primary |
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