# HOMETOWN DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1982427225
- **Authorized official:** JEREMY A FOWLER (OWNER)
- **Authorized official phone:** (931) 249-9171

## Contact information

- **Practice address:** 120 MEDICAL CT, CLARKSVILLE, TN 37043-4602
- **Practice address phone:** (931) 249-9171
- **Mailing address:** 120 MEDICAL CT, CLARKSVILLE, TN 37043-4602
- **Mailing address phone:** (931) 249-9171

## Taxonomy

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

## Other

- **Enumeration date:** 11/05/2024
- **Last updated:** 11/05/2024