Pediatric DentistIndex

Sango Smiles Pediatric Dentistry

Pediatric dental practice in Clarksville, TN

Registered providerLicense # listed (TN)

Call (931) 919-4898Send a messageMap ↗

Public-record details

Address
2622 Madison St Ste G, Clarksville, TN 37043
Phone
(931) 919-4898
Listed under
Practices and organizations
NPI
1538679097
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Pediatric Dentistry (1223P0221X)
License number on NPI record
8466 (TN)
Authorized official
Crystal Rucker, DMD, Owner
NPI first issued
Oct 10, 2017
Years since NPI first issued
9 years (since 2017)
License state on NPI record
TN
NPI record last updated
Oct 10, 2017
Pediatric dentistry listings at this street address
2 (this one included)
Individual pediatric dentists listed at this address
1

NPI 1538679097 is active in the federal NPPES registry (CMS) with Pediatric Dentistry, an ADA-recognized dental specialty, as its self-reported primary taxonomy; license 8466 (TN) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Pediatric Dentist Index does not vet, employ, recommend or guarantee pediatric dental practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Pediatric Dentist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Pediatric dentists are dentists who completed an accredited pediatric dentistry residency after dental school. A registered specialty is not board certification. Verify the dental license with the state dental board and board certification with the American Board of Pediatric Dentistry.

View NPI 1538679097 in the official registry ↗

Pediatric dentists at this address

Other listings in this directory whose NPI record gives the same street address and ZIP. A shared address usually means a shared practice or building; it does not by itself show who works with whom.

Registered specialty is not board certification. Verify the license with the state dental board and board certification with the American Board of Pediatric Dentistry. Ask which insurance and Medicaid/CHIP plans the practice accepts.

Other pediatric dentistry listings in Clarksville

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