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328 22nd Ave Norht Nashville TN 37203 | |
| (615) 340-8500 | |
| (615) 340-8504 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 328 22nd Ave Norht, Nashville, Tennessee |
| Authorized Official Name and Position | Jeffrey B Carter (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6153294401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 305172 Dept 75 Nashville TN 37203-1842 Ph: (615) 321-6176 | 328 22nd Ave Norht Nashville TN 37203 Ph: (615) 340-8500 |
| NPI Number | 1992999841 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992999841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Tennessee) | Primary |
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