# GAW FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1598205197
- **Authorized official:** DR. TED W. GAW DDS (OWNER/GENERAL DENTIST)
- **Authorized official phone:** (931) 268-2869

## Contact information

- **Practice address:** 187 N GRUNDY QUARLES HWY, GAINESBORO, TN 38562-9691
- **Practice address phone:** (931) 268-2869
- **Practice address fax:** (931) 268-9837
- **Mailing address:** 187 N GRUNDY QUARLES HWY, GAINESBORO, TN 38562-9691
- **Mailing address phone:** (931) 268-2869
- **Mailing address fax:** (931) 268-9837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS0000003304 | TN | Yes |
| 1223G0001X | General Practice Dentistry | DS0000009536 | TN | — |

## Other

- **Enumeration date:** 03/01/2017
- **Last updated:** 03/01/2017