Fairrow, Veran Antonita
Fairrow, Veran Antonita is an individual health care provider with primary practice located at Back To Basics Dental Center 1762 Tn Highway 48, Clarksville TN 37040. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Fairrow, Veran Antonita can be contacted via phone (931) 645-8000.Contact Information
Primary practice address
Back To Basics Dental Center 1762 Tn Highway 48
Clarksville TN 37040
Phone: (931) 645-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS0000005248 | Tennessee |
Profile Details
| NPI number | 1386758241 |
|---|---|
| LBN Legal business name | Fairrow, Veran Antonita |
| Credentials | DDS, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Aug 16th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386758241 | NPPES |
| Tennessee | MEDICAID | 3202696 |
Popular Providers
-
Warrington, Richard Donald
1877 Fort Campbell Blvd , Clarksville TN 37042-5109 -
George, Mary Margaret
930 Highway 76 , Clarksville TN 37043-8456 -
Sims, Brandon
220 Hillcrest Dr , Clarksville TN 37043-6540 -
Webber, Benjamin Luke
2287 Raleigh Ct, Suite A , Clarksville TN 37043 -
Green, William Phillip
1573 Fort Campbell Blvd , Clarksville TN 37042-3535 -
Rankin, Oscar Lane
1756 Memorial Dr , Clarksville TN 37043-4562 -
Cunningham, Heath Lee
1877 Fort Campbell Blvd , Clarksville TN 37042-5109 -
Moseley, Andrew W
2063 Wilma Rudolph Blvd , Clarksville TN 37040-6621