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2405 Crestmoor Road Nashville TN 37215 | |
| (615) 460-0123 | |
| (615) 460-0119 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2405 Crestmoor Road, Nashville, Tennessee |
| Authorized Official Name and Position | Clayton C. Cummings (DENTIST OWNER) |
| Authorized Official Contact | 6154600123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2405 Crestmoor Road Nashville TN 37215 Ph: (615) 460-0123 | 2405 Crestmoor Road Nashville TN 37215 Ph: (615) 460-0123 |
| NPI Number | 1124508049 |
|---|---|
| Provider Enumeration Date | 08/20/2018 |
| Last Update Date | 08/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124508049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS005282 (Tennessee) | Primary |
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