| Nashville Dental Studio Pllc | |
|
5505 Edmondson Pike Ste 201 Nashville TN 37211-5869 | |
| (615) 398-4343 | |
| Not Available |
| Full Name | Nashville Dental Studio Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5505 Edmondson Pike Ste 201, Nashville, Tennessee |
| Authorized Official Name and Position | Kenzie Gaines Davidovich (DENTIST/OWNER) |
| Authorized Official Contact | 6153984343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nashville Dental Studio Pllc 5505 Edmondson Pike Ste 201 Nashville TN 37211-5869 Ph: (615) 398-4343 | Nashville Dental Studio Pllc 5505 Edmondson Pike Ste 201 Nashville TN 37211-5869 Ph: (615) 398-4343 |
| NPI Number | 1114652674 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114652674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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