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Contact Information

ALLIANCE ENDODONTICS PLLC
2287 RALEIGH CT STE A
CLARKSVILLE, TN37043-2061
 Phone: 931-553-8484
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ALLIANCE ENDODONTICS PLLC · (Female)

NPI Number 1063085207
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2021
Last updated 07/23/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN Medicaid 1427015080
  • TN Medicaid 1841701497
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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