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COMMUNITY CLINIC SHELBYVILLE AND BEDFORD CO.INC.,
NPI 1760181762
Dentist - General Practice in Shelbyville, TN

Active since February 28, 2023CLIA 44D1016075 · Waiver
200 DOVER ST STE 202, SHELBYVILLE, TN 37160(931) 684-6772(931) 684-6721 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Clinic Shelbyville And Bedford Co.inc., NPPES

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

COMMUNITY CLINIC SHELBYVILLE AND BEDFORD CO.INC., (NPI 1760181762), doing business as Community Clinic Shelbyville And Bedford Co., is a healthcare organization registered as a general practice in Shelbyville, Tennessee and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Lisa Carden, Director Of Dental Operations, as its authorized official.

NPPES Registry Identity

NPI1760181762
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOMMUNITY CLINIC SHELBYVILLE AND BEDFORD CO.INC.,
Location Address200 DOVER ST STE 202Shelbyville, TN 37160-2799
Mailing Address200 Dover St Ste 202Shelbyville, TN 37160-2799 · (931) 684-6772 · Fax (931) 684-6721
Phone(931) 684-6772
Fax(931) 684-6721
Organization SubpartNo
Authorized OfficialLisa CardenDirector Of Dental Operations · (931) 684-6772
Enumeration DateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1760181762 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.
200 DOVER ST STE 202, Shelbyville, TN 37160
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Other Names 2

Doing Business AsCommunity Clinic Shelbyville And Bedford Co.
Doing Business AsCommunity Clinic Shelbyville And Bedford Co., Inc.

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1016075

Community Clinic Of Bedord County/Shelbyville · Shelbyville, TN
Active · expires Aug 18, 2027
CLIA Number44D1016075
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorJoyce H. Adams
Laboratory Phone(931) 684-6772
Laboratory LocationCommunity Clinic Of Bedord County/Shelbyville200 Dover St Ste 203, Shelbyville, TN 37160
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Community Clinic Shelbyville And Bedford Co.Inc.,'s NPI number?

The NPI number for Community Clinic Shelbyville And Bedford Co.Inc., is 1760181762. It was assigned to this organization in the NPPES registry on February 28, 2023. The provider is doing business as Community Clinic Shelbyville and Bedford Co. and Community Clinic Shelbyville and Bedford Co., Inc..

Where is Community Clinic Shelbyville And Bedford Co.Inc., located?

Community Clinic Shelbyville And Bedford Co.Inc., is located at 200 Dover St Ste 202, Shelbyville, TN 37160. The listed phone number is (931) 684-6772.

What is Community Clinic Shelbyville And Bedford Co.Inc.,'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Community Clinic Shelbyville And Bedford Co.Inc., hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1016075) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Clinic Shelbyville And Bedford Co.Inc., was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.