Spring Creek Pediatric Dentistry Pllc
NPI #1255816104 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1255816104
- Entity Type
- Organization
- Organization Name
- Spring Creek Pediatric Dentistry Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 26, 2018
- Last Updated
- May 3, 2019
Practice Location
- Address
- 590 FIRE STATION RD STE C
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37043-4016
- Phone
- (931) 648-9930
Authorized Official
- Name
- DR. KEVIN KENNEDY JR., DDS
- Title
- DENTIST
- Phone
- (931) 206-0852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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