Clarksville Dental Center, Pllc

LBN: Clarksville Dental Center, Pllc
Clarksville Dental Center, Pllc is an health care organization with primary practice located at 1301 Peachers Mill Rd , Clarksville TN 37042-4610. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Clarksville Dental Center, Pllc can be contacted via phone (931) 572-9152, or through Dewald, Joan via phone (931) 572-9175.

Contact Information

Primary practice address
1301 Peachers Mill Rd Clarksville TN 37042-4610
Phone: (931) 572-9152
Fax: (931) 572-9155
Website:
Map and Directions
Authorized official contact:
Name: Dewald, Joan
Phone: (931) 572-9175

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3417 Tennessee
Dental Providers / General Practice 1223G0001X 6850 Tennessee
Dental Providers / General Practice 1223G0001X 1542 Tennessee
Dental Providers / General Practice 1223G0001X 8301 Tennessee
Dental Providers / General Practice 1223G0001X 8580 Tennessee
Dental Providers / General Practice 1223G0001X 8275 Tennessee
Dental Providers / General Practice 1223G0001X 8596 Tennessee
Dental Providers / General Practice 1223G0001X 8290 Tennessee
Dental Providers / General Practice 1223G0001X 8317 Tennessee
Dental Providers / General Practice 1223G0001X 8259 Tennessee

Profile Details

NPI number 1043388713
LBN Legal business name Clarksville Dental Center, Pllc
DBA Doing business as
Authorized official Dewald, Joan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043388713 NPPES
Tennessee Other 167716 TENNCARE-DORAL
Tennessee Other 1833308 TENNCARE-DORAL

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