Robert H Galbraith Jr., DDS
Individual provider Active NPI General Practice Dentistry · Clarksville, TN
NPI 1871680744 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871680744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7508 (TN)
- Practice address
- 102 Country LN
Suite D
Clarksville, TN 37043 - Phone
- (931) 553-0706
- Fax
- (931) 553-0336
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 7508 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Family Dental | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7508 | TN | Yes |
Addresses
Primary practice location
102 Country LN
Suite D
Clarksville, TN 37043
Mailing address
102 Country LN
Suite D
Clarksville, TN 37043
Phone (931) 553-0706
Other providers in Clarksville, TN
- Nicole Briana Fuqua
- Thomas C Fuss
- Alexis Gabelmann
- Lindsey Leigh Gafford
- Denise Marie Galben
- Jade Clare Gallagher
- Katelyn Gallagher
- Myriam Gallagher
- Barbara Gallahan
- Lauren Cleek Galloway
All providers in Clarksville, 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 Jul 8, 2007. 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.