Provider Demographics
NPI:1407920697
Name:CLINARD, CHRISTIAN ANN (DDS)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIAN
Middle Name:ANN
Last Name:CLINARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHRISTIAN
Other - Middle Name:ANN
Other - Last Name:CLINARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:215 CENTER PARK DR STE 150
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-2112
Mailing Address - Country:US
Mailing Address - Phone:865-777-2949
Mailing Address - Fax:865-675-4868
Practice Address - Street 1:215 CENTER PARK DR STE 150
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2112
Practice Address - Country:US
Practice Address - Phone:865-777-2949
Practice Address - Fax:865-675-4868
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000071491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice