Individual
DR. CRYSTAL GILREATH RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2622 MADISON ST STE G, CLARKSVILLE, TN 37043-6555
(931) 919-4898
(931) 919-4897
Mailing address
7520 LORDS CHAPEL DR, NASHVILLE, TN 37211-7040
(615) 557-4442
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8466
TN
1223P0221X
Pediatric Dentistry
DS8466
TN
Other
Enumeration date
12/05/2006
Last updated
10/30/2017
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