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Contact Information

AFFORDABLE DENTAL INCORPORATED
1833 MEMORIAL DR.
CLARKSVILLE, TN37043
 Phone: 931-645-8575
 Fax: 931-645-8120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for AFFORDABLE DENTAL INCORPORATED

NPI Number 1619128865
LBN Legal business name AFFORDABLE DENTAL INCORPORATED
Authorized official SABIN EWING - (PEDIATRIC DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2008
Last updated 03/09/2017 - About 9 years ago
Identifiers
TN License # 7907
TN License # 8588
TN License # 9072
TN License # 9738
TN Medicaid 1517610
TN Medicaid 5440034
TN Medicaid Q001138
TN Other 1083749055 INDIVIDUAL NPI
TN Other 1275895724 INDIVIDUAL NPI
TN Other 1497084057 INDIVIDUAL NPI
TN Other 1841292737 INDIVIDUAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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