OrganizationActive
Clarksville Modern Dentistry,pc
NPI 1104362946 · Dentist · Clarksville, TN
Clarksville Modern Dentistry,pc is a Dentist organization in Clarksville, TN (NPI 1104362946).
Provider details
- NPI number
- 1104362946
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Joan to, Owner Dentist(931) 202-9151
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1777 Madison Ste Suite 100
Clarksville, TN 37043
Phone: (931) 202-9151
Fax: (931) 218-2724
Street-level locationGet directions
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Other names (DBA / former)
- Doing business as
- Clarksville Modern Dentistry
Registry dates
- Enumerated
- 2017-01-18
- Last updated
- 2017-01-18
Frequently asked questions
- What is Clarksville Modern Dentistry,pc's NPI number?
- Clarksville Modern Dentistry,pc's National Provider Identifier (NPI) is 1104362946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clarksville Modern Dentistry,pc?
- Clarksville Modern Dentistry,pc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Clarksville Modern Dentistry,pc located?
- Clarksville Modern Dentistry,pc's practice location on file with NPPES is 1777 Madison Ste Suite 100, Clarksville, TN 37043.
- What is Clarksville Modern Dentistry,pc's phone number?
- The practice phone number listed in the NPPES registry for Clarksville Modern Dentistry,pc is (931) 202-9151.
- Who is the authorized official for Clarksville Modern Dentistry,pc?
- The authorized official listed on Clarksville Modern Dentistry,pc's NPPES record is Joan to, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clarksville Modern Dentistry,pc's NPI active?
- Yes — Clarksville Modern Dentistry,pc's NPI (1104362946) is active in the NPPES registry as of the last update on 2017-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.