Tiny Town Dental

Primary specialty

DentistTaxonomy code 122300000X

License

8552 Issued in TN

Legal business name

TINY TOWN DENTAL

Practice address

3402 Cainlo Dr Ste 100
Clarksville, TN 37042-0863

Phone

(931) 920-0440

Fax

(931) 920-0434

NPI assigned

Jan 17, 2011

Organization subpart

No

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

Authorized official

Name

Shawn Foster

Title

Practice Administrator

Phone

(615) 498-4323

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1053616417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 CAINLO DR STE 100",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370420863",
            "telephone_number": "931-920-0440",
            "fax_number": "931-920-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 CAINLO DR STE 100",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370420863",
            "telephone_number": "931-920-0440",
            "fax_number": "931-920-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY TOWN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "615-498-4323"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "8552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanie Stauffer PLLC
• Faith Leann Tillmannshofer
• Julia Timms
• Timothy K Duffin MD PLC
• Ashley Tinch
• Tiny Town Smiles Dentistry, PC (Tiny Town Smiles Dentistry)
• Denise Renee Tittle, D.O.
• Sheri Tittle
• TLC Medical Oxygen & Hospital Equipment, Inc.
• TN Doctors of Optometry, PLLC

• Dentist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.