Organization
AFFORDABLE DENTAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABIN K EWING D.D.S. (PEDIATRIC DENTIST)
(931) 645-8575
Entity
Organization
Contact information
Practice address
1833 MEMORIAL DR., CLARKSVILLE, TN 37043
(931) 645-8575
(931) 645-8120
Mailing address
1833 MEMORIAL DR., CLARKSVILLE, TN 37043
(931) 645-8575
(931) 645-8120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8588
TN
1223G0001X
General Practice Dentistry
Primary
9738
TN
1223P0221X
Pediatric Dentistry
7907
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9072
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083749055
INDIVIDUAL NPI
TN
01
—
1275895724
INDIVIDUAL NPI
TN
01
—
1497084057
INDIVIDUAL NPI
TN
05
—
1517610
—
TN
01
—
1841292737
INDIVIDUAL NPI
TN
05
—
5440034
—
TN
05
—
Q001138
—
TN
Enumeration date
10/07/2008
Last updated
03/09/2017
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