# COMMUNITY CLINIC SHELBYVILLE AND BEDFORD CO.INC.,

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Clinic Shelbyville and Bedford Co., Community Clinic Shelbyville and Bedford Co., Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760181762
- **Authorized official:** LISA CARDEN (DIRECTOR OF DENTAL OPERATIONS)
- **Authorized official phone:** (931) 684-6772

## Contact information

- **Practice address:** 200 DOVER ST STE 202, SHELBYVILLE, TN 37160-2799
- **Practice address phone:** (931) 684-6772
- **Practice address fax:** (931) 684-6721
- **Mailing address:** 200 DOVER ST STE 202, SHELBYVILLE, TN 37160-2799
- **Mailing address phone:** (931) 684-6772
- **Mailing address fax:** (931) 684-6721

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2023
- **Last updated:** 02/28/2023