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

Individual provider Pediatric Dentistry · NPI 1962560631

Dr. Crystal Gilreath Rucker, DMD is a Pediatric Dentistry in Clarksville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
Specialties on file
2
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

2622 Madison St Ste G
Clarksville, TN 37043-6555
Phone: (931) 919-4898
Fax: (931) 919-4897
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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 8466 (TN)
Pediatric Dentistry Taxonomy 1223P0221X · Licence DS8466 (TN)

Record details

NPI number1962560631
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedDecember 5, 2006
Last updated in NPPESOctober 30, 2017

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