# GULCH DENTAL STUDIO PLLC

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

## Provider details

- **NPI number:** 1437546744
- **Authorized official:** CLINT NEWMAN DDS (OWNER/DENTIST)
- **Authorized official phone:** (615) 385-3507

## Contact information

- **Practice address:** 224 11TH AVENUE S, NASHVILLE, TN 37203-4021
- **Practice address phone:** (615) 434-2134
- **Mailing address:** 224 11TH AVENUE S, NASHVILLE, TN 37203-4021
- **Mailing address phone:** (615) 434-2134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS0000007887 | TN | Yes |

## Other

- **Enumeration date:** 04/24/2015
- **Last updated:** 04/24/2015