Individual provider · Type 1 NPI

Crystal Gilreath Rucker, DMD

Pediatric Dentistry · Clarksville, TN

NPI number 1962560631 Active

Practice location

2622 Madison St Ste G
Clarksville, TN 37043-6555

Call (931) 919-4898 Map

Fax (931) 919-4897

Mailing address

7520 Lords Chapel Dr
Nashville, TN 37211-7040

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XDS8466 (TN)
Pediatric Dentistry Primary 1223P0221X8466 (TN)

Pediatric Dentistry: 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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About NPI 1962560631

Crystal Gilreath Rucker, DMD's National Provider Identifier is 1962560631, issued on Dec 5, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Clarksville, TN. The record was last updated on Oct 30, 2017.