| The Children's Dentist | |
|
271 Stonecrossing Dr Ste B Clarksville TN 37042-8404 | |
| (931) 551-4400 | |
| (931) 591-3245 |
| Full Name | The Children's Dentist |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 271 Stonecrossing Dr Ste B, Clarksville, Tennessee |
| Authorized Official Name and Position | Lary W. Deeds (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 9315514400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Dentist 271 Stonecrossing Dr Ste B Clarksville TN 37042-8404 Ph: (931) 551-4400 | The Children's Dentist 271 Stonecrossing Dr Ste B Clarksville TN 37042-8404 Ph: (931) 551-4400 |
| NPI Number | 1598757361 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 05/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598757361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Tennessee) | Primary |
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