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3817 Bedford Ave Suite 130 Nashville TN 37215-2546 | |
| (615) 383-7801 | |
| (615) 297-2834 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3817 Bedford Ave, Nashville, Tennessee |
| Authorized Official Name and Position | Charles David Roach (OWNER/DOCTOR) |
| Authorized Official Contact | 6153837801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3817 Bedford Ave Suite 130 Nashville TN 37215-2546 Ph: (615) 383-7801 | 3817 Bedford Ave Suite 130 Nashville TN 37215-2546 Ph: (615) 383-7801 |
| NPI Number | 1487958641 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487958641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7165 (Tennessee) | Primary |
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