CLARK CLEMENTS DENTAL PLLC (NPI# 1205257599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205257599 |
| Entity Type | Organization |
| Organization Name | CLARK CLEMENTS DENTAL PLLC |
| Practice Address |
710 N Brittain St Ste C Shelbyville TN 37160-3448 |
| Practice Telephone | 9316859700 |
| Practice Fax Number | 9316854051 |
| Mailing Telephone | 9316859700 |
| Mailing Fax Number | 9316854051 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | MRS. CINDY G BIRDSONG (OFFICE MANAGER) |
| Authorized Official Telephone | 9316859700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
9671 | TN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3046 | TN | Dental Providers |
| Street Address |
710 N BRITTAIN ST STE C |
| City | SHELBYVILLE |
| State | TN |
| Zip Code | 37160-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578972774 | Clements Dental Pllc | Dentist | 710 N Brittain St, Suite C, Shelbyville, TN 37160-3448 | 2014-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1194224998 | Stephen Blake Feldhaus | Nurse Practitioner | 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 | 2018-02-07 |
| 1285158519 | Angelique Lynn Oliver | Case Management | 604 S. Wall St., Shelbyville, TN 37160 | 2017-07-28 |
| 1215476445 | Acts of Kindness | Home Health | 213 Lane Parkway, Shelbyville, TN 37160 | 2017-02-21 |
| 1255727681 | Nancy Elizabeth Hudson | Counselor | 117 Mcgrew Street, Shelbyville, TN 37160 | 2015-04-13 |
| 1699177956 | Shelbyville Medical Group, Pllc | Family Medicine | 221 Lane Parkway, Shelbyville, TN 37160 | 2014-09-18 |
| 1154637122 | Digestive Healthcare of Central Tennessee, Pllc | Internal Medicine | 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 | 2010-08-27 |
| 1871791293 | Frank L Jayakody Md PC | Family Medicine | 1701 North Main St, Shelbyville, TN 37160 | 2007-07-06 |
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1346459385 | Chamberland Dentistry PC | Preferred Provider Organization | 1006 Colloredo Blvd, Shelbyville, TN 37160 | 2007-05-22 |
| Find all providers in zip 37160 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124556576 | Timothy Andrew Mcclain | Dentist | 141 Stonecrest Rd Ste 1, Shelbyville, KY 40065-8165 | 2017-05-30 |
| 1215306790 | Dental Professionals of Indiana, PC | Dentist | 1828 E State Road 44, Suite 300, Shelbyville, IN 46176-1814 | 2015-09-15 |
| 1740556851 | Shelbyville Family Dental | Dentist | 122 Lee Boulevard, Shelbyville, IN 46176-3403 | 2012-03-23 |
| 1841510880 | Jamie Lynn Coleman | Dentist | 196 Frankfort Rd, Shelbyville, KY 40065-9433 | 2010-06-01 |
| 1114166535 | Michael Anthony Jester | Dentist | 16 Public Sq, Suite C, Shelbyville, IN 46176-1393 | 2009-02-09 |
| 1811159700 | Mec Dental I, P.C. | Dentist | 114 Lee Blvd, Suite E, Shelbyville, IN 46176-3403 | 2008-07-01 |
| 1396966099 | Blue River Dental Care, PC | Dentist | 1818 N Riley Hwy Ste A, Shelbyville, IN 46176-9171 | 2007-05-01 |
| 1376687509 | Darrin Ray Combs | Dentist | 225 S Harrison St, Shelbyville, IN 46176-2159 | 2007-02-19 |
| 1689721508 | Randall Lee Miller | Dentist | 117 W Washington St, Shelbyville, IN 46176-1245 | 2007-01-04 |
| 1992866206 | John H Gilmore | Dentist | 312 East Holland Str, Shelbyville, TN 37160 | 2006-12-12 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 37160 |
Please comment or provide details below to improve the information on CLARK CLEMENTS DENTAL PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.