Restorative Dental Associates | |
237a Dunbar Cave Rd Clarksville TN 37043-5734 | |
(931) 648-0604 | |
(931) 648-0605 |
Full Name | Restorative Dental Associates |
---|---|
Speciality | Dentist |
Location | 237a Dunbar Cave Rd, Clarksville, Tennessee |
Authorized Official Name and Position | Thomas K Hartz (OWNER PRESIDENT) |
Authorized Official Contact | 9316480604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Restorative Dental Associates 237a Dunbar Cave Rd Clarksville TN 37043-5734 Ph: (931) 648-0604 | Restorative Dental Associates 237a Dunbar Cave Rd Clarksville TN 37043-5734 Ph: (931) 648-0604 |
NPI Number | 1083605521 |
---|---|
Provider Enumeration Date | 11/03/2005 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083605521 | NPI | - | NPPES |
0016171 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS3159 (Tennessee) | Primary |
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