Organization
THE CHILDREN'S DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARY W. DEEDS DMD (PRESIDENT OF CORPORATION)
(931) 551-4400
Entity
Organization
Contact information
Practice address
271 STONECROSSING DR STE B, CLARKSVILLE, TN 37042-8404
(931) 551-4400
(931) 591-3245
Mailing address
271 STONECROSSING DR STE B, CLARKSVILLE, TN 37042-8404
(931) 551-4400
(931) 591-3245
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
TN
Other
Enumeration date
08/18/2005
Last updated
05/09/2017
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