Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CRYSTAL GILREATH RUCKER, D.M.D.
Active Sole ProprietorDR. CRYSTAL GILREATH RUCKER, D.M.D. is a Pediatric Dentistry healthcare provider located in CLARKSVILLE, Tennessee. NPI 1962560631 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CLARKSVILLE, TN
Registration Details
- NPI Number
- 1962560631
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2006 (19.653373041292 yrs)
- Last Updated
- Oct 30, 2017
- Licenses
-
DS8466 (TN)8466 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2622 MADISON ST STE GCLARKSVILLE, TN, 370436555Browse TN providers · Browse ZIP 37043
- Phone
- 9319194898
- Fax
- 9319194897
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in CLARKSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| LARY W. DEEDS | DMD | 1265424022 |
| ROBERT MICHAEL WEAVER | DDS | 1912999772 |
| DR. DAVID R CHEATHAM | D.D.S., M.S. | 1942292370 |
| KARYL JEAN BEAUCHAMP | DDS | 1528082682 |
| DR. ANDREW JOSEPH VAUGHN | DMD | 1568692242 |
| DR. KEVIN CHAMBLISS KENNEDY JR. | DDS | 1629399647 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.