BACK TO BASICS DENTAL CENTER, LLC
NPI 1013288257
Dentist - General Practice in Clarksville, TN

Active since January 19, 2012
1762 HIGHWAY 48, STE A, CLARKSVILLE, TN 37040(931) 645-8000 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Back To Basics Dental Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BACK TO BASICS DENTAL CENTER, LLC (NPI 1013288257) is a healthcare organization registered as a general practice in Clarksville, Tennessee and active in the NPI registry since January 2012. The organization lists Jennifer Cornell, Owner, as its authorized official.

NPPES Registry Identity

NPI1013288257
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBACK TO BASICS DENTAL CENTER, LLC
Location Address1762 HIGHWAY 48, STE AClarksville, TN 37040-7284
Mailing Address1762 Highway 48, Ste AClarksville, TN 37040-7284
Organization SubpartNo
Authorized OfficialJennifer CornellOwner · (931) 645-8000
Enumeration DateJanuary 19, 2012
Last NPPES UpdateSeptember 16, 2015
NPI 1013288257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TN · 8416
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1762 HIGHWAY 48, Clarksville, TN 37040

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1762 HIGHWAY 48
CLARKSVILLE, TN 37040
Dentist (General Practice)
1762 HIGHWAY 48
CLARKSVILLE, TN 37040
Dentist
1762 HIGHWAY 48
CLARKSVILLE, TN 37040
Dentist (General Practice)
1762 HIGHWAY 48
CLARKSVILLE, TN 37040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Back To Basics Dental Center, LLC's NPI number?

The NPI number for Back To Basics Dental Center, LLC is 1013288257. It was assigned to this organization in the NPPES registry on January 19, 2012.

Where is Back To Basics Dental Center, LLC located?

Back To Basics Dental Center, LLC is located at 1762 Highway 48 Ste A, Clarksville, TN 37040. The listed phone number is (931) 645-8000.

What is Back To Basics Dental Center, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Back To Basics Dental Center, LLC was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.