# ELITE DENTAL CARE EADS

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

## Provider details

- **NPI number:** 1609454867
- **Authorized official:** CLINT BUCHANAN DDS (OWNER)
- **Authorized official phone:** (731) 855-1053

## Contact information

- **Practice address:** 3159 HIGHWAY 64 STE 100, EADS, TN 38028-3322
- **Practice address phone:** (901) 465-2382
- **Mailing address:** 2066 US HIGHWAY 45 BYP S, TRENTON, TN 38382-3507
- **Mailing address phone:** (731) 855-1053

## Taxonomy

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

## Other

- **Enumeration date:** 03/30/2021
- **Last updated:** 03/30/2021