Individual
DR. ROBERT CLARK CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
219 N OAK AVE, COOKEVILLE, TN 38501-2437
(931) 528-6536
(931) 525-6706
Mailing address
219 N OAK AVE, COOKEVILLE, TN 38501-2437
(931) 528-6536
(931) 525-6706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3554
TN
Other
Enumeration date
02/17/2007
Last updated
07/08/2007
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