MEDICARE: LARY W. DEEDS DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	DS7304	TN

General Provider Information

NPI Number	:	1265424022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARY W. DEEDS DMD

Provider Business Mailing Address
First Line	:	271 STONECROSSING DR STE B
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37042-8404
Country	:	US
Telephone Number	:	931-551-4400
Fax Number	:	931-591-3245

Provider Business Practice Location Address
First Line	:	271 STONECROSSING DR STE B
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37042-8404
Country	:	US
Telephone Number	:	931-551-4400
Fax Number	:	931-591-3245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	05/09/2017

Similar Medicare Providers

1598757361 — THE CHILDREN'S DENTIST
Practice Location Address:

271 STONECROSSING DR STE B
CLARKSVILLE, TN
37042-8404

Practice Phone: 931-551-4400
Practice Fax: 931-591-3245

1912999772 — ROBERT MICHAEL WEAVER DDS
Practice Location Address:

271 STONECROSSING DR
CLARKSVILLE, TN
37042-8404

Practice Phone: 931-551-4400
Practice Fax: 931-552-8972

1568472314 — EMANUEL J. HNARAKIS D.D.S.
Practice Location Address:

271 STONECROSSING DR
CLARKSVILLE, TN
37042-8404

Practice Phone: 931-906-8800
Practice Fax: 931-552-8972

1205846359 — JOSEPH A BRITTON D.D.S.
Practice Location Address:

271 STONE CROSSING DRIVE
CLARKSVILLE, TN
37042-8404

Practice Phone: 931-906-8800
Practice Fax: 931-552-8972

1346388568 — DR. SAMSON KANLA ORUSA M.D
Practice Location Address:

261 STONECROSSING DR
CLARKSVILLE, TN
37042-8404

Practice Phone: 931-906-4366
Practice Fax: 931-906-4365

1770715013 — SAMSON K ORUSA PC
Practice Location Address:

261 STONECROSSING DR
CLARKSVILLE, TN
37042-8404

Practice Phone: 931-906-4366
Practice Fax: 931-906-4365

Directions to “ LARY W. DEEDS DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.