Individual
DR. ANTHONY SCOTT CARROCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2088 LOWES DR, SUITE C, CLARKSVILLE, TN 37040-1620
(931) 648-3233
(931) 648-3266
Mailing address
2088 LOWES DR, SUITE C, CLARKSVILLE, TN 37040-1620
(931) 648-3233
(931) 648-3266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7717
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440029
—
TN
01
—
9176520
DORAL DENTAL
TN
Enumeration date
07/21/2005
Last updated
06/04/2008
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