Individual
DR. CLIFFORD GRANT DUKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
612 S CONGRESS BLVD, SMITHVILLE, TN 37166-2009
(615) 597-7788
(615) 597-4737
Mailing address
612 S CONGRESS BLVD, SMITHVILLE, TN 37166-2009
(615) 597-7788
(615) 597-4737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3282
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097682
BLUE CROSS/ BLUE SHIELD
TN
Enumeration date
06/12/2006
Last updated
07/08/2007
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