Sango Smiles Pediatric Dentistry

LBN: Sango Smiles Pediatric Dentistry
Sango Smiles Pediatric Dentistry is an health care organization with primary practice located at 2622 Madison St Ste G , Clarksville TN 37043-6555. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Sango Smiles Pediatric Dentistry can be contacted via phone (931) 919-4898, or through Rucker, Crystal via phone (615) 557-4442.

Contact Information

Primary practice address
2622 Madison St Ste G Clarksville TN 37043-6555
Phone: (931) 919-4898
Fax: (931) 919-4892
Website:
Map and Directions
Authorized official contact:
Name: Rucker, Crystal Doctor of Dental Medicine (DMD)
Phone: (615) 557-4442

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8466 Tennessee

Profile Details

NPI number 1538679097
LBN Legal business name Sango Smiles Pediatric Dentistry
DBA Doing business as
Authorized official Rucker, Crystal Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2017
Last updated Oct 10th, 2017 - about 9 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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