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GRACE DENTAL PLLC
NPI 1316477144
Dentist - General Practice in Clarksville, TN

Active since June 14, 2017
304 PROVIDENCE BLVD, CLARKSVILLE, TN 37042(931) 648-4100(931) 648-4988 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 8, 2018, Aug 3, 2018 and 1 more (4 updates tracked since 2017).

About Grace Dental Pllc NPPES

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

GRACE DENTAL PLLC (NPI 1316477144) is a healthcare organization registered as a general practice in Clarksville, Tennessee and active in the NPI registry since June 2017. The organization lists Grace Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1316477144
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRACE DENTAL PLLC
Location Address304 PROVIDENCE BLVDClarksville, TN 37042
Mailing Address304 Providence BlvdClarksville, TN 37042-4326 · (931) 648-4100 · Fax (931) 648-4988
Phone(931) 648-4100
Fax(931) 648-4988
Organization SubpartNo
Authorized OfficialGrace LeeOwner · (931) 648-4100
Enumeration DateJune 14, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1316477144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
304 PROVIDENCE BLVD, Clarksville, TN 37042
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Other Identifiers 1

MedicaidQ037677TN

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

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

DR. GRACE LEE DMD
Dentist
304 PROVIDENCE BLVD
CLARKSVILLE, TN 37042
Montgomery County (931) 648-4100

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 Grace Dental PLLC's NPI number?

The NPI number for Grace Dental PLLC is 1316477144. It was assigned to this organization in the NPPES registry on June 14, 2017.

Where is Grace Dental PLLC located?

Grace Dental PLLC is located at 304 Providence Blvd, Clarksville, TN 37042. The listed phone number is (931) 648-4100.

What is Grace Dental PLLC'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 Grace Dental PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.