CLARKSVILLE TONGUE TIE CENTER PLLC
NPI 1811568561
Dentist - Pediatric Dentistry in Clarksville, TN

Active since July 05, 2021
590 FIRE STATION RD STE D, CLARKSVILLE, TN 37043(931) 444-3410 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clarksville Tongue Tie Center Pllc NPPES

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

CLARKSVILLE TONGUE TIE CENTER PLLC (NPI 1811568561) is a healthcare organization registered as a pediatric dentistry in Clarksville, Tennessee and active in the NPI registry since July 2021. The organization lists Kevin Kennedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1811568561
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCLARKSVILLE TONGUE TIE CENTER PLLC
Location Address590 FIRE STATION RD STE DClarksville, TN 37043-4076
Mailing Address590 Fire Station Rd Ste DClarksville, TN 37043-4076 · (931) 444-3410
Organization SubpartNo
Authorized OfficialKevin KennedyOwner · (931) 206-0852
Enumeration DateJuly 5, 2021
NPPES CertifiedJuly 5, 2021
NPI 1811568561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.

590 FIRE STATION RD STE D, Clarksville, TN 37043

Other Identifiers 1

Other0No Insurance

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811568561, enumerated as an "organization" on July 05, 2021.

The provider is located at 590 FIRE STATION RD STE D CLARKSVILLE, TN 37043 and the phone number is (931) 444-3410.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.