| Clarksville Dental Center, Pllc | |
|
1301 Peachers Mill Rd Clarksville TN 37042-4610 | |
| (931) 572-9152 | |
| (931) 572-9155 |
| Full Name | Clarksville Dental Center, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 Peachers Mill Rd, Clarksville, Tennessee |
| Authorized Official Name and Position | Joan Dewald (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9315729175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Dental Center, Pllc 1301 Peachers Mill Rd Clarksville TN 37042-4610 Ph: (931) 572-9152 | Clarksville Dental Center, Pllc 1301 Peachers Mill Rd Clarksville TN 37042-4610 Ph: (931) 572-9152 |
| NPI Number | 1043388713 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043388713 | NPI | - | NPPES |
| 167716 | Other | TN | TENNCARE-DORAL |
| 1833308 | Other | TN | UNITED CONCORDIA |
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