Clark Clements Dental PLLC
Dentist, General Practice in Shelbyville, TN. Organization (NPI-2).
NPI number1205257599
StatusActive
Last updated in NPPESJan 3, 2014
Details
- NPI
- 1205257599
- Entity type
- Organization (NPI-2)
- Legal business name
- Clark Clements Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jan 3, 2014
- Last updated
- Jan 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3046 | TN | Yes |
| 1223G0001X | Dentist, General Practice | 9671 | TN |
Practice location
710 N Brittain StSte C
Shelbyville, TN 37160-3448
Phone 931-685-9700 · Fax 931-685-4051
Mailing address
710 N Brittain StSte C
Shelbyville, TN 37160-3448
Phone 931-685-9700 · Fax 931-685-4051
Authorized official
Cindy G Birdsong
Office Manager
9316859700
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