Grace Dental Pllc

LBN: Grace Dental Pllc
Grace Dental Pllc is an health care organization with primary practice located at 304 Providence Blvd , Clarksville TN 37042. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Grace Dental Pllc can be contacted via phone (931) 648-4100, or through Lee, Grace via phone (931) 648-4100.

Contact Information

Primary practice address
304 Providence Blvd Clarksville TN 37042
Phone: (931) 648-4100
Fax: (931) 648-4988
Website:
Map and Directions
Authorized official contact:
Name: Lee, Grace Doctor of Dental Medicine (DMD)
Phone: (931) 648-4100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Tennessee

Profile Details

NPI number 1316477144
LBN Legal business name Grace Dental Pllc
DBA Doing business as
Authorized official Lee, Grace Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316477144 NPPES
Tennessee MEDICAID Q037677

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