Crystal Gilreath Rucker in Clarksville - Pediatric Dentistry
Crystal Gilreath Rucker - NPI 1962560631
Crystal Gilreath Rucker is a Pediatric Dentistry in Clarksville, Tennessee. Crystal Gilreath Rucker practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Crystal Gilreath Rucker is 1962560631. The last update date is 2017-10-30.
Crystal Gilreath Rucker's current location address is 2622 Madison St Ste G, Clarksville, Tennessee. You can contact this provider via phone number 9319194898 and fax number 9319194897. The mailing address for Crystal Gilreath Rucker is 2622 Madison St Ste G, Clarksville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Gilreath Rucker |
|---|---|
| Address | 2622 Madison St Ste G, Clarksville, Tennessee |
| Phone Number | 9319194898 |
| Fax Number | 9319194897 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1962560631 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2017-10-30 |
Provider Mailing Address Detail
| Address | 2622 Madison St Ste G |
|---|---|
| City | Clarksville |
| State | Tennessee (TN) |
| Post Code | 370436555 |
| Phone Number | 9319194898 |
| Fax Number | 9319194897 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DS8466 |
|
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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What is the unique identification code assigned to Crystal Gilreath Rucker by the Centers for Medicare & Medicaid Services?
The Crystal Gilreath Rucker has been issued the NPI (National Provider Identifier) 1962560631. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Crystal Gilreath Rucker is physically located?
The Crystal Gilreath Rucker is situated at the following address: 2622 Madison St Ste G, Clarksville, TN 370436555.
What is the Crystal Gilreath Rucker's area of specialization and corresponding taxonomy classification?
The Crystal Gilreath Rucker's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
When was the Crystal Gilreath Rucker's 1962560631 issued?
The Crystal Gilreath Rucker's 1962560631 was issued on 2006-12-05.
As of what date were the Crystal Gilreath Rucker's details last updated?
The information pertaining to the Crystal Gilreath Rucker, including its address, specialty, and other details, was most recently updated on 2017-10-30.
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