James Edward Clark III, D.D.S.
Individual provider Active NPI General Practice Dentistry · Nolensville, TN
NPI 1104836840 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1104836840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7500 (TN)
- Practice address
- 921 Oldham Dr
Nolensville, TN 37135-9455 - Phone
- (615) 776-3592
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7500 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7500 | TN | Yes |
Addresses
Primary practice location
921 Oldham Dr
Nolensville, TN 37135-9455
Mailing address
921 Oldham Dr
Nolensville, TN 37135-9455
Phone (615) 776-3592
Other providers in Nolensville, TN
- Caradine Behavior Consulting Inc
- Ronald Joseph Carns
- Ashley Chaffin
- Phouangmala Chanthoumphone
- Chapel Health Partners LLC
- Clovercroft Dental LLC
- Myia Katherine Copeland
- Cheryl Louise Corle
- Teosha Patrice Craighead
- Sarah Ashley Criss
All providers in Nolensville, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.