NPIMap

Organization Active NPI

Affordable Dentures & Implants - Tennessee, PLLC

  • General Practice Dentistry
  • Clarksville, TN
National Provider Identifier
1013553916
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - TENNESSEE, PLLC
Practice address
2766 Wilma Rudolph Blvd Ste A2
Clarksville, TN 37040-5810
Phone
(931) 330-1497
NPI assigned
Nov 26, 2019
Last updated
Nov 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Haley Wooster
Title
Enrollment Specialist
Phone
(712) 733-8551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2766 Wilma Rudolph Blvd Ste A2
Clarksville, TN 37040-5810

Mailing address

2766 Wilma Rudolph Blvd Ste A2
Clarksville, TN 37040-5810

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentures Implants - Tennessee PLLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2766 Wilma Rudolph Blvd
Ste A2
Clarksville, TN 37040
Phone (931) 330-1497

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1013553916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 WILMA RUDOLPH BLVD STE A2",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 WILMA RUDOLPH BLVD STE A2",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405810",
            "telephone_number": "931-330-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - TENNESSEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "WOOSTER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "712-733-8551"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.