| Tiny Town Dental | |
|
3402 Cainlo Dr Ste 100 Clarksville TN 37042-0863 | |
| (931) 920-0440 | |
| (931) 920-0434 |
| Full Name | Tiny Town Dental |
|---|---|
| Speciality | Dentist |
| Location | 3402 Cainlo Dr Ste 100, Clarksville, Tennessee |
| Authorized Official Name and Position | Shawn Foster (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6154984323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiny Town Dental 3402 Cainlo Dr Ste 100 Clarksville TN 37042-0863 Ph: (931) 920-0440 | Tiny Town Dental 3402 Cainlo Dr Ste 100 Clarksville TN 37042-0863 Ph: (931) 920-0440 |
| NPI Number | 1053616417 |
|---|---|
| Provider Enumeration Date | 01/17/2011 |
| Last Update Date | 01/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053616417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8552 (Tennessee) | Primary |
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