Tiny Town Dental

NPI #1053616417 in Clarksville, Tennessee

Provider Information

NPI Number: 1053616417
Entity Type: Organization
Organization Name: Tiny Town Dental
Primary Specialty: Dentist
Enumeration Date: Jan 17, 2011
Last Updated: Jan 17, 2011

Practice Location

Address: 3402 CAINLO DR STE 100
City: Clarksville
State: Tennessee
ZIP Code: 37042-0863
Phone: (931) 920-0440

Authorized Official

Name: SHAWN FOSTER
Title: PRACTICE ADMINISTRATOR
Phone: (615) 498-4323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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