| K. Darrel Clabough Dds, P.c. | |
|
1565 Salem Loop Greenback TN 37742-3201 | |
| (865) 803-9100 | |
| (865) 982-0118 |
| Full Name | K. Darrel Clabough Dds, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1565 Salem Loop, Greenback, Tennessee |
| Authorized Official Name and Position | Kenneth Darrel Clabough (OWNER/PROVIDER) |
| Authorized Official Contact | 8659830941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K. Darrel Clabough Dds, P.c. 310 Sanderson St Alcoa TN 37701-2428 Ph: (865) 983-0941 | K. Darrel Clabough Dds, P.c. 1565 Salem Loop Greenback TN 37742-3201 Ph: (865) 803-9100 |
| NPI Number | 1043631401 |
|---|---|
| Provider Enumeration Date | 01/02/2014 |
| Last Update Date | 01/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043631401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3957 (Tennessee) | Primary |