TERESA MARIE CLARK R.D.A.
NPI 1689759516
Dental Assistant in Fairview, TN

Active since October 26, 2006
7218 BIRCH BARK DRIVE, FAIRVIEW, TN 37062(615) 799-5438 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Teresa Marie Clark R.d.a. NPPES

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

TERESA MARIE CLARK R.D.A. (NPI 1689759516) is an individual dental assistant provider in Fairview, Tennessee, licensed in Tennessee (3436) and active in the NPI registry since October 2006.Information from the official NPPES registry record, last updated July 8, 2007.

NPPES Registry Identity

NPI1689759516
Entity TypeIndividualFemale
Provider Legal NameTERESA MARIE CLARKCredential: R.D.A.
Location Address7218 BIRCH BARK DRIVEFairview, TN 37062
Mailing Address7218 Birch Bark DriveFairview, TN 37062 · (615) 799-5438
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1689759516 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Dental Assistant

Taxonomy 126800000X · Dental Providers

Licensed in TN · 3436

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other… Show more

7218 BIRCH BARK DRIVE, Fairview, TN 37062

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689759516, enumerated as an "individual" on October 26, 2006.

The provider is located at 7218 BIRCH BARK DRIVE FAIRVIEW, TN 37062 and the phone number is (615) 799-5438.

Dental Assistant with taxonomy code 126800000X.