Clarksville Dental Center, Pllc
NPI #1043388713 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1043388713
- Entity Type
- Organization
- Organization Name
- Clarksville Dental Center, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1301 PEACHERS MILL RD
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37042-4610
- Phone
- (931) 572-9152
Authorized Official
- Name
- MRS. JOAN DEWALD
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (931) 572-9175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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