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

Dr. Clint Ole Brodal, DMD

Individual provider Dentist · NPI 1720235781

Dr. Clint Ole Brodal, DMD is a Dentist in Maryville, Tennessee. Licensed in Oregon and Tennessee. Registered with an NPI since 2008.

Licensed in
OR, TN
In the registry since
2008
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

121 Parliament Dr
Maryville, TN 37804-6210
Phone: (865) 977-8700
Fax: (865) 977-5464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 10289 (TN)
Dentist Taxonomy 122300000X · Licence D9259 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence D9259 (OR)

Record details

NPI number1720235781
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 21, 2008
Last updated in NPPESJuly 8, 2016

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