Childress, Robert Clark
Childress, Robert Clark is an sole proprietor health care provider with primary practice located at 219 N Oak Ave , Cookeville TN 38501-2437. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Childress, Robert Clark can be contacted via phone (931) 528-6536.Contact Information
Primary practice address
219 N Oak Ave
Cookeville TN 38501-2437
Phone: (931) 528-6536
Fax: (931) 525-6706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS3554 | Tennessee |
Profile Details
| NPI number | 1922142397 |
|---|---|
| LBN Legal business name | Childress, Robert Clark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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