Organization
K. DARREL CLABOUGH DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DARREL CLABOUGH D.D.S. (OWNER/PROVIDER)
(865) 983-0941
Entity
Organization
Contact information
Practice address
1565 SALEM LOOP, GREENBACK, TN 37742-3201
(865) 803-9100
(865) 982-0118
Mailing address
310 SANDERSON ST, ALCOA, TN 37701-2428
(865) 983-0941
(865) 982-0118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3957
TN
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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