| Rivergate Dental Associates Pc | |
|
85 Cude Ln Madison TN 37115-2292 | |
| (615) 859-2262 | |
| Not Available |
| Full Name | Rivergate Dental Associates Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 85 Cude Ln, Madison, Tennessee |
| Authorized Official Name and Position | Michael W Edge (PRESIDENT) |
| Authorized Official Contact | 6153704605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivergate Dental Associates Pc Po Box 306087 Nashville TN 37230-6087 Ph: (615) 859-2262 | Rivergate Dental Associates Pc 85 Cude Ln Madison TN 37115-2292 Ph: (615) 859-2262 |
| NPI Number | 1760614606 |
|---|---|
| Provider Enumeration Date | 08/11/2009 |
| Last Update Date | 08/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760614606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS02226 (Tennessee) | Primary |
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