SPRING CREEK PEDIATRIC DENTISTRY PLLC
NPI 1255816104
Clinic/Center - Dental in Clarksville, TN

Active since September 26, 2018
2698 TOWNSEND CT STE A, CLARKSVILLE, TN 37043(931) 648-9930(931) 444-3407 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, May 3, 2019, Sep 26, 2018 (3 updates tracked since 2018).

About Spring Creek Pediatric Dentistry Pllc NPPES

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

SPRING CREEK PEDIATRIC DENTISTRY PLLC (NPI 1255816104) is a healthcare organization registered as a dental in Clarksville, Tennessee and active in the NPI registry since September 2018. The organization maintains a secondary practice location in Clarksville and lists Kevin Kennedy, Dentist, as its authorized official.

NPPES Registry Identity

NPI1255816104
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSPRING CREEK PEDIATRIC DENTISTRY PLLC
Location Address2698 TOWNSEND CT STE AClarksville, TN 37043-2699
Mailing Address2698 Townsend Ct Ste AClarksville, TN 37043-2699 · (931) 648-9930 · Fax (931) 444-3407
Fax(931) 444-3407
Organization SubpartNo
Authorized OfficialKevin KennedyDentist · (931) 206-0852
Enumeration DateSeptember 26, 2018
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
NPI 1255816104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2698 TOWNSEND CT STE A, Clarksville, TN 37043

Secondary Practice Location 1

Location 12485 Fort Campbell Blvd Ste 102Clarksville, TN 37042-7789 · Phone (931) 378-8588 · Fax (931) 378-8589

Other Identifiers 2

Medicaid7101128960KY
Medicaid1527793TN

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 Spring Creek Pediatric Dentistry PLLC's NPI number?

The NPI number for Spring Creek Pediatric Dentistry PLLC is 1255816104. It was assigned to this organization in the NPPES registry on September 26, 2018.

Where is Spring Creek Pediatric Dentistry PLLC located?

Spring Creek Pediatric Dentistry PLLC is located at 2698 Townsend Ct Ste A, Clarksville, TN 37043. The listed phone number is (931) 648-9930.

What is Spring Creek Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Spring Creek Pediatric Dentistry PLLC was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.