| Back To Basics Dental Center | |
|
1762 Highway 48 Clarksville TN 37040 | |
| (931) 645-8000 | |
| (931) 645-8046 |
| Full Name | Back To Basics Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1762 Highway 48, Clarksville, Tennessee |
| Authorized Official Name and Position | Rhonda Jeanene Moon (INSUR COORDINATOR) |
| Authorized Official Contact | 9316458000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Basics Dental Center 1762 Highway 48 Clarksville TN 37040 Ph: (931) 645-8000 | Back To Basics Dental Center 1762 Highway 48 Clarksville TN 37040 Ph: (931) 645-8000 |
| NPI Number | 1689789067 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689789067 | NPI | - | NPPES |
| 3082656 | Other | TN | BCBS |
| 01385805 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4722 (Tennessee) | Primary |
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