# RESTORATIVE DENTAL ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1740589787
- **Authorized official:** DR. KENNETH G SANDBERG D.D.S. (GENERAL DENTIST)
- **Authorized official phone:** (931) 648-0604

## Contact information

- **Practice address:** 237 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8852
- **Practice address phone:** (931) 648-0604
- **Practice address fax:** (931) 648-0605
- **Mailing address:** 237 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8852
- **Mailing address phone:** (931) 648-0604
- **Mailing address fax:** (931) 648-0605

## Taxonomy

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

## Other

- **Enumeration date:** 03/16/2011
- **Last updated:** 03/16/2011