Individual provider · Type 1 NPI

Crystal Lynn Wallenius

General Practice Dentistry · Clarksville, TN

NPI number 1720749708 Active

Practice location

2292 Dalton Dr Ste F
Clarksville, TN 37043-8961

Call (931) 503-1111 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6001117-15 (WI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1720749708

Crystal Lynn Wallenius's National Provider Identifier is 1720749708, issued on Jan 3, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Clarksville, TN. The record was last updated on Aug 4, 2023.