CLARKSVILLE MODERN DENTISTRY
NPI 1104362946
Dentist in Clarksville, TN

Q: What is Clarksville Modern Dentistry,pc's NPI number?

The NPI number for Clarksville Modern Dentistry,pc is 1104362946. It was assigned to this organization in the NPPES registry on January 18, 2017. The provider is doing business as Clarksville Modern Dentistry.

Q: What is Clarksville Modern Dentistry,pc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since January 18, 2017

1777 MADISON STE SUITE 100, CLARKSVILLE, TN 37043(931) 202-9151(931) 218-2724 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clarksville Modern Dentistry NPPES

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

CLARKSVILLE MODERN DENTISTRY (NPI 1104362946) is a healthcare organization registered as a dentist in Clarksville, Tennessee and active in the NPI registry since January 2017. The organization lists Joan Thanh To, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1104362946

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCLARKSVILLE MODERN DENTISTRY,PC

Location Address1777 MADISON STE SUITE 100Clarksville, TN 37043

Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495

Phone(931) 202-9151

Fax(931) 218-2724

Organization SubpartNo

Authorized OfficialJoan Thanh ToOwner Dentist · (931) 202-9151

Enumeration DateJanuary 18, 2017

✔ NPI 1104362946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

1777 MADISON STE SUITE 100, Clarksville, TN 37043

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Other Names 1

Doing Business AsClarksville Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 Clarksville Modern Dentistry,pc's NPI number?

The NPI number for Clarksville Modern Dentistry,pc is 1104362946. It was assigned to this organization in the NPPES registry on January 18, 2017. The provider is doing business as Clarksville Modern Dentistry.

Where is Clarksville Modern Dentistry,pc located?

Clarksville Modern Dentistry,pc is located at 1777 Madison Ste Suite 100, Clarksville, TN 37043. The listed phone number is (931) 202-9151.

What is Clarksville Modern Dentistry,pc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Clarksville Modern Dentistry,pc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Clarksville Modern Dentistry,pc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clarksville Modern Dentistry,pc was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.