CLARKSVILLE DENTAL CARE, LLC


Address: 529 E Lewis and Clark Pkwy, Clarksville, IN 47129-1729
Phone: 8127259200

CLARKSVILLE DENTAL CARE, LLC (NPI# 1801339445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801339445
Entity Type Organization
Organization Name CLARKSVILLE DENTAL CARE, LLC
Practice Address 529 E Lewis and Clark Pkwy
Clarksville
IN 47129-1729
Mailing Address 10800 Farley St
Ste 200
Overland Park
KS 66210-1414
Practice Telephone 8127259200
Enumeration Date 2016-11-30
Last Update Date 2016-11-30
Authorized Official Name SHAYNA BAHR (MANAGER)
Authorized Official Telephone 3035244501
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 2008019818 MO Dental Providers

Office Location

Street Address 529 E LEWIS AND CLARK PKWY
City CLARKSVILLE
State IN
Zip Code 47129-1729

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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
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1275866394 Sarah Capri Davenport Psychologist 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 2009-09-08
1467623629 Mortenson Family Dental Center- Clarksville, LLC Dentist 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 2008-03-17
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
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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NPI Name Taxonomy Address Enumeration
1851924369 Renew Dental Dentist 1835 Madison St Ste A, Clarksville, TN 37043-6547 2020-02-13
1861057044 Hodiah Dmd LLC Dentist 6100 Daylong Ln Ste 204, Clarksville, MD 21029-1655 2019-05-03
1477014488 Emily Allen Dentist 930 Hwy 76, Clarksville, TN 37040 2019-03-31
1972064186 Tania Faruqi Dentist 1777 Madison St Ste 100, Clarksville, TN 37043-4912 2019-03-29
1689176471 Tiny Town Smiles Dentistry, PC Dentist 1466 Tiny Town Rd Ste A, Clarksville, TN 37042-8292 2018-03-07
1871095133 Hnarakis Dental Pllc Dentist 894 Highway 76 Ste 105, Clarksville, TN 37043-5396 2018-03-02
1245742931 Andrea L Edelstein Dentist 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 2017-11-02
1700306032 Sahiti Kandati Dentist 1777 Madison Ste Ste 100, Clarksville, TN 37043 2017-06-27
1154862035 Rg Dental Jeffersonville LLC Dentist 1005 E Lewis and Clark Pkwy, Clarksville, IN 47129-2201 2017-03-13
1104362946 Clarksville Modern Dentistry,pc Dentist 1777 Madison Ste Suite 100, Clarksville, TN 37043 2017-01-18
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Competitor

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City CLARKSVILLE
Zip Code 47129

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Dataset Information

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.

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