Spring Creek Pediatric Dentistry Pllc | |
590 Fire Station Rd Ste C Clarksville TN 37043-4016 | |
(931) 648-9930 | |
Not Available |
Full Name | Spring Creek Pediatric Dentistry Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 590 Fire Station Rd Ste C, Clarksville, Tennessee |
Authorized Official Name and Position | Kevin Kennedy (DENTIST) |
Authorized Official Contact | 9312060852 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spring Creek Pediatric Dentistry Pllc 590 Fire Station Rd Ste C Clarksville TN 37043-4016 Ph: (931) 648-9930 | Spring Creek Pediatric Dentistry Pllc 590 Fire Station Rd Ste C Clarksville TN 37043-4016 Ph: (931) 648-9930 |
NPI Number | 1255816104 |
---|---|
Provider Enumeration Date | 09/26/2018 |
Last Update Date | 05/03/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255816104 | NPI | - | NPPES |
1527793 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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