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: August 16, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarksville Tongue Tie Center PLLC's NPI number?

The NPI number for Clarksville Tongue Tie Center PLLC is 1811568561. It was assigned to this organization in the NPPES registry on July 5, 2021.

Where is Clarksville Tongue Tie Center PLLC located?

Clarksville Tongue Tie Center PLLC is located at 590 Fire Station Rd Ste D, Clarksville, TN 37043. The listed phone number is (931) 444-3410.

What is Clarksville Tongue Tie Center PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Clarksville Tongue Tie Center PLLC was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.