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General NPI Number Information
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NPI Number | 1083605521
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Entity Type | Organization
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Legal Business Name | THOMAS K HARTZ DMD PC
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 237A DUNBAR CAVE RD
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City | CLARKSVILLE
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State | TN
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Zip | 37043-5734
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Country | US
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Telephone | 931-648-0604
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Fax | 931-648-0605
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Provider Business Mailing Address
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Address Line | 237A DUNBAR CAVE RD
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City | CLARKSVILLE
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State | TN
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Zip | 37043-5734
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Country | US
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Telephone | 931-648-0604
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Fax | 931-648-0605
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. THOMAS K HARTZ
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Credential | DMD
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Telephone | 931-648-0604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS3159
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License Number State | TN
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