Clarksville Tongue Tie Center Pllc

LBN: Clarksville Tongue Tie Center Pllc
Clarksville Tongue Tie Center Pllc is an health care organization with primary practice located at 590 Fire Station Rd Ste D , Clarksville TN 37043-4076. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Clarksville Tongue Tie Center Pllc can be contacted via phone (931) 444-3410, or through Kennedy, Kevin via phone (931) 206-0852.

Contact Information

Primary practice address
590 Fire Station Rd Ste D Clarksville TN 37043-4076
Phone: (931) 444-3410
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Kevin Doctor of Dental Surgery (DDS)
Phone: (931) 206-0852

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1811568561
LBN Legal business name Clarksville Tongue Tie Center Pllc
DBA Doing business as
Authorized official Kennedy, Kevin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2021
Last updated Jul 5th, 2021 - 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 1811568561 NPPES
Other 0 NO INSURANCE

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