The Children's Dentist

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

THE CHILDREN'S DENTIST

Practice address

271 Stonecrossing Dr Ste B
Clarksville, TN 37042-8404

Phone

(931) 551-4400

Fax

(931) 591-3245

NPI assigned

Aug 18, 2005

Last updated

May 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lary W. Deeds, DMDNPI 1265424022

Title

President of Corporation

Phone

(931) 551-4400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lary W. Deeds, DMD

  • Pediatric Dentistry
  • Clarksville, TN
  • NPI 1265424022
  NPD (past) Authorized official

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1598757361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 STONECROSSING DR STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370428404",
            "telephone_number": "931-551-4400",
            "fax_number": "931-591-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 STONECROSSING DR STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370428404",
            "telephone_number": "931-551-4400",
            "fax_number": "931-591-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "DEEDS",
        "authorized_official_first_name": "LARY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "931-551-4400",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shani Terry
• Lucas Teske, MD
• TH Care Services
• Aruna Devi Amara Thati, M.D.
• Mark Thaxton
• The Dior Movement Enterprise, PLLC
• The Eye Doctors - Optometrists
• The Functional Foundations
• The Grace & Growth Collective, PLLC
• The Green Collective, PLLC- Green & Grounded

• Pediatric Dentistry in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.