Individual
DR. JAMES EDWARD CLARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
616 BELL RD, ANTIOCH, TN 37013-2141
(615) 361-6570
Mailing address
9225 CONCORD RD, BRENTWOOD, TN 37027-7442
(615) 373-5461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2727
TN
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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