# CLEMENTS DENTAL PLLC

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

## Provider details

- **NPI number:** 1578972774
- **Authorized official:** DR. TARA CLEMENTS DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (931) 685-9700

## Contact information

- **Practice address:** 710 N BRITTAIN ST, SUITE C, SHELBYVILLE, TN 37160-3448
- **Practice address phone:** (931) 685-9700
- **Practice address fax:** (931) 685-4051
- **Mailing address:** 710 N BRITTAIN ST, SUITE C, SHELBYVILLE, TN 37160-3448
- **Mailing address phone:** (931) 685-9700
- **Mailing address fax:** (931) 685-4051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3046 | TN | — |
| 1223G0001X | General Practice Dentistry | 9671 | TN | Yes |

## Other

- **Enumeration date:** 08/13/2014
- **Last updated:** 08/13/2014