MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC (NPI# 1467623629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467623629 |
| Entity Type | Organization |
| Organization Name | MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC |
| Other Organization Name | SMILECARE FAMILY DENTAL |
| Practice Address |
1240 Veterans Parkway Suite 100 Clarksville IN 47129 |
| Practice Telephone | 8122842701 |
| Practice Fax Number | 8122842721 |
| Mailing Telephone | 8122842701 |
| Mailing Fax Number | 8122842721 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2012-10-16 |
| Authorized Official Name | STEPHEN JAMES (CFO) |
| Authorized Official Telephone | 5022548504 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12010767A | IN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Smilecare Family Dental | Doing Business As Name - Organization |
| Street Address |
1240 VETERANS PARKWAY SUITE 100 |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| 1881816320 | Dental Professionals of Indiana, P.C. | Dentist | 1516 Lynch Lane, Ste A, Clarksville, IN 47129 | 2007-05-03 |
| Find all providers in zip 47129 | ||||
| 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 |
|---|---|---|---|---|
| 1013553916 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 2766 Wilma Rudolph Blvd Ste A2, Clarksville, TN 37040-5810 | 2019-11-26 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1659732980 | George A Bare Jr Dmd Pllc | Dentist | 237 Dunbar Cave Rd, Suite A, Clarksville, TN 37043-8852 | 2016-03-15 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1639564628 | Hower Dental Pllc | Dentist | 1011 Highway 76 Ste B, Clarksville, TN 37043-2531 | 2015-04-06 |
| 1659774040 | Tennessee Dental Professionals PC | Dentist | 2207 Lowes Dr W Ste A, Clarksville, TN 37040-6964 | 2014-09-30 |
| 1528494432 | Jeffrey Trembley | Dentist | 1502 Tiny Town Rd, Suite A, Clarksville, TN 37042 | 2013-09-24 |
| 1407281868 | Mortenson Family Dental Center- Clarksville | Dentist | 1240 Veterans Pkwy, Suite 100, Clarksville, IN 47129-2394 | 2013-09-04 |
| 1184911539 | Nina Ferrell Biggs | Dentist | 2289 Rudolphtown Road, Suite A, Clarksville, TN 37043 | 2011-07-06 |
| 1891085775 | Cdp LLC | Dentist | 513 E Lewis and Clark Pkwy, Clarksville, IN 47129-1729 | 2011-04-13 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
Please comment or provide details below to improve the information on MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC.
| 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.