Organization
JAMES E. CLARK JR. DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWARD CLARK JR. D.D.S. (PRESIDENT)
(615) 361-6570
Entity
Organization
Contact information
Practice address
616 BELL RD, ANTIOCH, TN 37013-2141
(615) 361-6570
Mailing address
616 BELL RD, ANTIOCH, TN 37013-2141
(615) 361-6570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2727
TN
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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