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8090 Highway 100 Nashville TN 37221-4212 | |
| (615) 646-3549 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8090 Highway 100, Nashville, Tennessee |
| Authorized Official Name and Position | Tina Free (OFFICE MANAGER) |
| Authorized Official Contact | 6158837800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 291946 Nashville TN 37229-1946 Ph: (615) 883-7800 | 8090 Highway 100 Nashville TN 37221-4212 Ph: (615) 646-3549 |
| NPI Number | 1053887406 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053887406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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