Clark Clements Dental PLLC
Organization Active NPI General Practice Dentistry · Shelbyville, TN
NPI 1205257599 · NPPES record last updated Jan 3, 2014
Key facts
- NPI
- 1205257599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3046 (TN)
- Legal business name
- CLARK CLEMENTS DENTAL PLLC
- Practice address
- 710 N Brittain St
Ste C
Shelbyville, TN 37160-3448 - Phone
- (931) 685-9700
- Fax
- (931) 685-4051
- NPI assigned
- Jan 3, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cindy G Birdsong
- Title
- Office Manager
- Phone
- (931) 685-9700
Practitioners 3
-
Tara Amanda Clements, D.D.S.
-
Cassey Young, DDS
National Provider Directory
Locations
710 N Brittain St
Ste C
Shelbyville, TN 37160
Phone (931) 685-9700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 3046 | TN | Yes |
| General Practice Dentistry |
1223G0001X | 9671 | TN |
Addresses
Primary practice location
710 N Brittain St
Ste C
Shelbyville, TN 37160-3448
Mailing address
710 N Brittain St
Ste C
Shelbyville, TN 37160-3448
Phone (931) 685-9700
Other providers in Shelbyville, TN
- Barry Childers
- Chris Marasco M.D., PC
- Christian Care Center of Bedford County, LLC
- Courtney Ellen Clardy
- Laura Beth Clardy
- James H Clark
- William Clement
- Clements Dental PLLC
- Tara Amanda Clements
- Kelly Clifford
All providers in Shelbyville, 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 Jan 3, 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.