# AFFORDABLE DENTAL INCORPORATED

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

## Provider details

- **NPI number:** 1619128865
- **Authorized official:** SABIN K EWING D.D.S. (PEDIATRIC DENTIST)
- **Authorized official phone:** (931) 645-8575

## Contact information

- **Practice address:** 1833 MEMORIAL DR., CLARKSVILLE, TN 37043
- **Practice address phone:** (931) 645-8575
- **Practice address fax:** (931) 645-8120
- **Mailing address:** 1833 MEMORIAL DR., CLARKSVILLE, TN 37043
- **Mailing address phone:** (931) 645-8575
- **Mailing address fax:** (931) 645-8120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8588 | TN | — |
| 1223G0001X | General Practice Dentistry | 9738 | TN | Yes |
| 1223P0221X | Pediatric Dentistry | 7907 | TN | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9072 | TN | — |

## Other

- **Enumeration date:** 10/07/2008
- **Last updated:** 03/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1083749055 | INDIVIDUAL NPI | TN |
| 01 | — | 1275895724 | INDIVIDUAL NPI | TN |
| 01 | — | 1497084057 | INDIVIDUAL NPI | TN |
| 05 | — | 1517610 | — | TN |
| 01 | — | 1841292737 | INDIVIDUAL NPI | TN |
| 05 | — | 5440034 | — | TN |
| 05 | — | Q001138 | — | TN |