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SANGO SMILES PEDIATRIC DENTISTRY
NPI 1538679097
Dentist - Pediatric Dentistry in Clarksville, TN

Active since October 10, 2017
2622 MADISON ST STE G, CLARKSVILLE, TN 37043(931) 919-4898(931) 919-4892 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sango Smiles Pediatric Dentistry NPPES

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

SANGO SMILES PEDIATRIC DENTISTRY (NPI 1538679097) is a healthcare organization registered as a pediatric dentistry in Clarksville, Tennessee and active in the NPI registry since October 2017. The organization lists Crystal Rucker, Owner, as its authorized official.

NPPES Registry Identity

NPI1538679097
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSANGO SMILES PEDIATRIC DENTISTRY
Location Address2622 MADISON ST STE GClarksville, TN 37043-6555
Mailing Address7520 Lords Chapel DrNashville, TN 37211-7040 · (615) 557-4442
Phone(931) 919-4898
Fax(931) 919-4892
Organization SubpartNo
Authorized OfficialCrystal RuckerOwner · (615) 557-4442
Enumeration DateOctober 10, 2017
✔ NPI 1538679097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TN · 8466
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2622 MADISON ST STE G, Clarksville, TN 37043
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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. CRYSTAL GILREATH RUCKER D.M.D.
Dentist (Pediatric Dentistry)
2622 MADISON ST STE G
CLARKSVILLE, TN 37043
Montgomery County (931) 919-4898

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 Sango Smiles Pediatric Dentistry's NPI number?

The NPI number for Sango Smiles Pediatric Dentistry is 1538679097. It was assigned to this organization in the NPPES registry on October 10, 2017.

Where is Sango Smiles Pediatric Dentistry located?

Sango Smiles Pediatric Dentistry is located at 2622 Madison St Ste G, Clarksville, TN 37043. The listed phone number is (931) 919-4898.

What is Sango Smiles Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Sango Smiles Pediatric Dentistry accept?

Health plans from UnitedHealthcare list Sango Smiles Pediatric Dentistry 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 Sango Smiles Pediatric Dentistry was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.