# CDP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarksville Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891085775
- **Authorized official:** DR. JUSTIN HAROLD SORENSON DMD (MEMBER)
- **Authorized official phone:** (812) 725-9200

## Contact information

- **Practice address:** 529 E LEWIS AND CLARK PKWY, CLARKSVILLE, IN 47129-1729
- **Practice address phone:** (812) 725-9200
- **Practice address fax:** (812) 725-9313
- **Mailing address:** 529 E LEWIS AND CLARK PKWY, CLARKSVILLE, IN 47129-1729
- **Mailing address phone:** (812) 725-9200
- **Mailing address fax:** (812) 725-9313

## Taxonomy

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

## Other

- **Enumeration date:** 04/13/2011
- **Last updated:** 03/22/2024