# TENNESSEE DENTAL PROFESSIONALS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TENNESSEE DENTAL SOLUTIONS, P.C.
- **Other names:** Armed Forces Dental Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659774040
- **Legal business name:** TENNESSEE DENTAL SOLUTIONS, P.C.
- **Authorized official:** KIM ZUBER (CRED SUPERVISOR)
- **Authorized official phone:** (217) 540-5170

## Contact information

- **Practice address:** 2207 LOWES DR W STE A, CLARKSVILLE, TN 37040-6964
- **Practice address phone:** (931) 648-4158
- **Mailing address:** 2207 LOWES DR., SUITE A, CLARKSVILLE, TN 37040
- **Mailing address phone:** (931) 648-4158
- **Mailing address fax:** (931) 648-4156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2014
- **Last updated:** 01/10/2017