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AFFORDABLE DENTAL INCORPORATED

Dental Providers Dentist General Practice

Provider NPI: 1619128865

Organization Information:
Organization Name:  AFFORDABLE DENTAL INCORPORATED
Organization is not Subpart
Authorized Official:  SABIN K EWING  PEDIATRIC DENTIST  931-645-8575

Practice Location:
1833 MEMORIAL DR.  CLARKSVILLE, TN 37043 US
Tel: 931-645-8575  Fax: 931-645-8120

Business Mailing Address:
1833 MEMORIAL DR.  CLARKSVILLE, TN 37043 US
Tel: 931-645-8575  Fax: 931-645-8120

NPI Information:
NPI: 1619128865
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223G0001XDental Providers
Dentist
General Practice
TN8588
Y1223G0001XDental Providers
Dentist
TN9738
N1223P0221XDental Providers
Dentist
TN7907
N1223S0112XDental Providers
Dentist
TN9072

Other Provider Identifiers:

IssuerNumberStateType
1517610TN05
INDIVIDUAL NPI1275895724TN01
Q001138TN05
INDIVIDUAL NPI1497084057TN01
5440034TN05
INDIVIDUAL NPI1083749055TN01
INDIVIDUAL NPI1841292737TN01



American Medical Association 2012 taxonomy code information

Code: 1223G0001X

Type:

Classification:



Definition:



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