Organization
CLARK CLEMENTS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY G BIRDSONG (OFFICE MANAGER)
(931) 685-9700
Entity
Organization
Contact information
Practice address
710 N BRITTAIN ST, STE C, SHELBYVILLE, TN 37160-3448
(931) 685-9700
(931) 685-4051
Mailing address
710 N BRITTAIN ST, STE C, SHELBYVILLE, TN 37160-3448
(931) 685-9700
(931) 685-4051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3046
TN
1223G0001X
General Practice Dentistry
9671
TN
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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