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Organization

BRANNEN & YARBROUGH FAMILY DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES BRANNEN DDS (OWNER)
(931) 645-2749
Entity
Organization

Contact information

Practice address
1722 MEMORIAL DR, CLARKSVILLE, TN 37043-4542
(931) 645-2749
(931) 645-2778
Mailing address
1722 MEMORIAL DR, CLARKSVILLE, TN 37043-4542
(931) 645-2749
(931) 645-2778

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS00006899
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014246
DORAL USA
TN
01
803173
UNITED CONCORDIA
TN
Enumeration date
04/23/2008
Last updated
04/23/2008
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