Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clarksville Modern Dentistry, PC

Organization Dentist · NPI 1104362946

Clarksville Modern Dentistry, PC is a Dentist in Clarksville, Tennessee. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1777 Madison Ste Ste 100
Clarksville, TN 37043
Phone: (931) 202-9151
Fax: (931) 218-2724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1104362946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joan To — Owner Dentist · (931) 202-9151
Other names Clarksville Modern Dentistry
NPI enumeratedJanuary 18, 2017
Last updated in NPPESJanuary 18, 2017
Mailing address17000 Red Hill Ave, Irvine, CA 92614-5626

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