| Crystal Clear Family Dentistry | |
|
1210 Hazelwood Dr Ste A Smyrna TN 37167-3964 | |
| (615) 930-2050 | |
| (615) 459-0568 |
| Full Name | Crystal Clear Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1210 Hazelwood Dr Ste A, Smyrna, Tennessee |
| Authorized Official Name and Position | Sarah Mekonnen (CEO/OWNER) |
| Authorized Official Contact | 6155843861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Clear Family Dentistry 415 Avondale Dr Nashville TN 37206-1818 Ph: (615) 584-3861 | Crystal Clear Family Dentistry 1210 Hazelwood Dr Ste A Smyrna TN 37167-3964 Ph: (615) 930-2050 |
| NPI Number | 1659156719 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659156719 | NPI | - | NPPES |
| 1437897907 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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