| Spring Creek Pediatric Dentistry Pllc | |
|
590 Fire Station Rd Ste C Clarksville TN 37043-4016 | |
| (931) 648-9930 | |
| Not Available |
| Full Name | Spring Creek Pediatric Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 590 Fire Station Rd Ste C, Clarksville, Tennessee |
| Authorized Official Name and Position | Kevin Kennedy (DENTIST) |
| Authorized Official Contact | 9312060852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Creek Pediatric Dentistry Pllc 590 Fire Station Rd Ste C Clarksville TN 37043-4016 Ph: (931) 648-9930 | Spring Creek Pediatric Dentistry Pllc 590 Fire Station Rd Ste C Clarksville TN 37043-4016 Ph: (931) 648-9930 |
| NPI Number | 1255816104 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 05/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255816104 | NPI | - | NPPES |
| 1527793 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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