Organization
CLARKSVILLE DENTAL CENTER- ST B
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN MONTEE (OWNER/DENTIST)
(931) 645-9469
Entity
Organization
Contact information
Practice address
1715 WILMA RUDOLPH BLVD, SUITE A, CLARKSVILLE, TN 37040-6861
(931) 645-2469
(931) 551-9954
Mailing address
1715 WILMA RUDOLPH BLVD, SUITE A, CLARKSVILLE, TN 37040-6861
(931) 645-2469
(931) 551-9954
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8290
TN
122300000X
Dentist
9114
TN
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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