THE CHILDREN'S DENTIST (NPI# 1598757361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598757361 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S DENTIST |
| Practice Address |
271 Stonecrossing Dr Ste B Clarksville TN 37042-8404 |
| Practice Telephone | 9315514400 |
| Practice Fax Number | 9315913245 |
| Mailing Telephone | 9315514400 |
| Mailing Fax Number | 9315913245 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | LARY W. DEEDS (PRESIDENT OF CORPORATION) |
| Authorized Official Telephone | 9315514400 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982973616 | The Children's Dentist | Dentist | 1717 E Harrison Ave, Harlingen, TX 78550-7389 | 2011-12-27 |
| Street Address |
271 STONECROSSING DR STE B |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042-8404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265424022 | Lary W. Deeds | Dentist | 271 Stonecrossing Dr Ste B, Clarksville, TN 37042-8404 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| Find all providers in zip 37042 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629399647 | Kevin Chambliss Kennedy Jr. | Dentist | 590 Fire Station Rd Ste C, Clarksville, TN 37043-4016 | 2010-06-14 |
| 1568692242 | Andrew Joseph Vaughn | Dentist | 495 Dunlop Ln Ste 112, Clarksville, TN 37040-5296 | 2009-07-16 |
| 1922122324 | Joseph A Fleck Dds Psc | Dentist | 412 Hale Road, Clarksville, IN 47129-1422 | 2007-03-19 |
| 1962560631 | Crystal Gilreath Rucker | Dentist | 2622 Madison St Ste G, Clarksville, TN 37043-6555 | 2006-12-05 |
| 1629173513 | Joseph A Fleck | Dentist | 412 Hale Rd, Clarksville, IN 47129-1422 | 2006-09-14 |
| 1528082682 | Karyl Jean Beauchamp | Dentist | 2297 Rudolphtown Rd, Clarksville, TN 37043 | 2006-07-26 |
| 1942292370 | David R Cheatham | Dentist | 1754 Madison St, Suite 4, Clarksville, TN 37043-2923 | 2005-08-22 |
| 1912999772 | Robert Michael Weaver | Dentist | 271 Stonecrossing Dr, Clarksville, TN 37042-8404 | 2005-08-18 |
| 1265424022 | Lary W. Deeds | Dentist | 271 Stonecrossing Dr Ste B, Clarksville, TN 37042-8404 | 2005-08-18 |
| 1538679097 | Sango Smiles Pediatric Dentistry | Dentist | 2622 Madison St Ste G, Clarksville, TN 37043-6555 | 2017-10-10 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
Please comment or provide details below to improve the information on THE CHILDREN'S DENTIST.
| 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.