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4219 Hillsboro Pike Ste 107 Nashville TN 37215-3309 | |
| (615) 469-0887 | |
| (615) 469-0152 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4219 Hillsboro Pike Ste 107, Nashville, Tennessee |
| Authorized Official Name and Position | Misty Graves (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6154690887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4219 Hillsboro Pike Ste 107 Nashville TN 37215-3309 Ph: (615) 469-0887 | 4219 Hillsboro Pike Ste 107 Nashville TN 37215-3309 Ph: (615) 469-0887 |
| NPI Number | 1003550625 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003550625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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