Lary W. Deeds in Clarksville - Pediatric Dentistry

Lary W. Deeds - NPI 1265424022

Lary W. Deeds is a Pediatric Dentistry in Clarksville, Tennessee. Lary W. Deeds practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Lary W. Deeds is 1265424022. The last update date is 2017-05-09.

Lary W. Deeds's current location address is 271 Stonecrossing Dr Ste B, Clarksville, Tennessee. You can contact this provider via phone number 9315514400 and fax number 9315913245. The mailing address for Lary W. Deeds is 271 Stonecrossing Dr Ste B, Clarksville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Lary W. Deeds
Address 271 Stonecrossing Dr Ste B, Clarksville, Tennessee
Phone Number 9315514400
Fax Number 9315913245
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1265424022
Provider Enumeration Date 2005-08-18
Last Updated Date 2017-05-09

Provider Mailing Address Detail

Address 271 Stonecrossing Dr Ste B
City Clarksville
State Tennessee (TN)
Post Code 370428404
Phone Number 9315514400
Fax Number 9315913245

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DS7304
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.

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FAQs about Lary W. Deeds

What is the unique identifier code issued to Lary W. Deeds by the Centers for Medicare & Medicaid Services?

The Lary W. Deeds has been assigned the NPI (National Provider Identifier) 1265424022. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Lary W. Deeds is physically located?

The Lary W. Deeds is physically situated at the following address: 271 Stonecrossing Dr Ste B, Clarksville, TN, 370428404.

What is Lary W. Deeds's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lary W. Deeds's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1265424022 to Lary W. Deeds?

The Centers for Medicare & Medicaid Services originally issued the 1265424022 to Lary W. Deeds on 2005-08-18.

When was the information regarding Lary W. Deeds, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lary W. Deeds, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-05-09.

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