# FAIRVIEW DENTAL ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174757702
- **Authorized official:** DR. MICHAEL W EDGE D.D.S. (PRESIDENT)
- **Authorized official phone:** (615) 799-9234

## Contact information

- **Practice address:** 1696 FAIRVIEW BLVD STE 104, FAIRVIEW, TN 37062-5144
- **Practice address phone:** (615) 799-9234
- **Practice address fax:** (615) 799-9626
- **Mailing address:** PO BOX 306067, NASHVILLE, TN 37230-6067
- **Mailing address phone:** (615) 370-4605
- **Mailing address fax:** (615) 370-0778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS6982 | TN | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 05/11/2009