Grace Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GRACE DENTAL PLLC

Practice address

304 Providence Blvd
Clarksville, TN 37042

Phone

(931) 648-4100

Fax

(931) 648-4988

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Grace Lee, DMDNPI 1689870768

Title

Owner

Phone

(931) 648-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Lee, DMD

  • Dentist
  • Clarksville, TN
  • NPI 1689870768
  NPD (past) Authorized official
• Mindy D Sessions, DDS

  • General Practice Dentistry
  • Clarksville, TN
  • NPI 1154492403
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316477144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PROVIDENCE BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424326",
            "telephone_number": "931-648-4100",
            "fax_number": "931-648-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PROVIDENCE BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37042",
            "telephone_number": "931-648-4100",
            "fax_number": "931-648-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-648-4100",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q037677",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karissa Lynn Goula
• GPS: Sango Family Dentistry, PLLC
• Grabenstein Family Practice
• William P. Grabenstein, M.D.
• Grace and Growth Counseling, LLC
• Sarah Beth Grace, FNP
• Jaqueline Gracia
• Grackle Emergency Physicians, LLC
• Ellen D. Graham, PH.D.
• Marian Theresa Graham

• General Practice Dentistry in Clarksville, TN
• Providers in Clarksville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.