Organization
COLUMBIA DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH LYNN CLAYTON DDS (SOLE MEMBER, DENTIST)
(615) 405-7565
Entity
Organization
Contact information
Practice address
6036 HAGARS GROVE PASS, HERMITAGE, TN 37076-5603
(615) 405-7565
Mailing address
1514 HATCHER LN, COLUMBIA, TN 38401-4825
(931) 381-7591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9024
TN
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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