Spring Creek Pediatric Dentistry Pllc

LBN: Spring Creek Pediatric Dentistry Pllc
Spring Creek Pediatric Dentistry Pllc is an health care organization with primary practice located at 590 Fire Station Rd Ste C , Clarksville TN 37043-4016. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Spring Creek Pediatric Dentistry Pllc can be contacted via phone (931) 648-9930, or through Kennedy, Kevin via phone (931) 206-0852.

Contact Information

Primary practice address
590 Fire Station Rd Ste C Clarksville TN 37043-4016
Phone: (931) 648-9930
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Kevin Doctor of Dental Surgery (DDS)
Phone: (931) 206-0852

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1255816104
LBN Legal business name Spring Creek Pediatric Dentistry Pllc
DBA Doing business as
Authorized official Kennedy, Kevin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2018
Last updated May 3rd, 2019 - about 7 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 1255816104 NPPES
Tennessee MEDICAID 1527793

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