Provider Demographics
NPI:1710290739
Name:MCCLARAN, TIFFANY RACHELLE (DDS, MDS)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:RACHELLE
Last Name:MCCLARAN
Suffix:
Gender:F
Credentials:DDS, MDS
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6716 NOLENSVILLE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8864
Mailing Address - Country:US
Mailing Address - Phone:615-846-3550
Mailing Address - Fax:615-846-3550
Practice Address - Street 1:6716 NOLENSVILLE RD STE 120
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8864
Practice Address - Country:US
Practice Address - Phone:615-846-3550
Practice Address - Fax:615-846-3550
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000091061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics