# SANGO HILLS DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174393896
- **Authorized official:** BURKE DEVLIN DMD (OWNER/MANAGING MEMBER)
- **Authorized official phone:** (931) 980-1562

## Contact information

- **Practice address:** 590 FIRE STATION RD STE C, CLARKSVILLE, TN 37043-4076
- **Practice address phone:** (931) 820-2693
- **Mailing address:** 590 FIRE STATION RD STE C, CLARKSVILLE, TN 37043-4076
- **Mailing address phone:** (931) 820-2693
- **Mailing address fax:** (931) 378-6076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2024
- **Last updated:** 06/07/2024