Dr. Robert Clark Childress, DDS
Dentist, General Practice in Cookeville, TN. Individual provider (NPI-1).
NPI number1922142397
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1922142397
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Clark Childress
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS3554 | TN | Yes |
Practice location
219 N Oak AveCookeville, TN 38501-2437
Phone 931-528-6536 · Fax 931-525-6706
Mailing address
219 N Oak AveCookeville, TN 38501-2437
Phone 931-528-6536 · Fax 931-525-6706
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