Organization
GOODLETTSVILLE COSMETIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CLARKE (OFFICE MANAGER)
(629) 325-7710
Entity
Organization
Contact information
Practice address
450 PROFESSIONAL PARK DR STE 101, GOODLETTSVILLE, TN 37072-2180
(629) 899-6543
(629) 899-6542
Mailing address
450 PROFESSIONAL PARK DR STE 101, GOODLETTSVILLE, TN 37072-2180
(629) 899-6543
(629) 899-6542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/06/2025
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