Provider Demographics
NPI:1952382657
Name:FLEMING, CLARANELL H (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLARANELL
Middle Name:H
Last Name:FLEMING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-5037
Mailing Address - Country:US
Mailing Address - Phone:615-860-4411
Mailing Address - Fax:615-860-0575
Practice Address - Street 1:312 HOSPITAL DR
Practice Address - Street 2:SUITE 4
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-5037
Practice Address - Country:US
Practice Address - Phone:615-860-4411
Practice Address - Fax:615-860-0575
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN53951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice