Provider Demographics
NPI:1538242607
Name:NABERS, CLARENCE LEWIS JR (DDS)
Entity type:Individual
Prefix:DR
First Name:CLARENCE
Middle Name:LEWIS
Last Name:NABERS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9329 S NORTHSHORE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-6548
Mailing Address - Country:US
Mailing Address - Phone:865-531-0100
Mailing Address - Fax:865-531-2800
Practice Address - Street 1:2061 THUNDERHEAD RD STE E
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-9488
Practice Address - Country:US
Practice Address - Phone:865-531-0100
Practice Address - Fax:865-531-2800
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN68391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice