# ROBERT S ELAM DDS, PC

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

## Provider details

- **NPI number:** 1629470984
- **Authorized official:** DR. ROBERT S ELAM D.D.S. (DENTIST)
- **Authorized official phone:** (615) 383-3690

## Contact information

- **Practice address:** 2125 BLAKEMORE AVE, NASHVILLE, TN 37212-3505
- **Practice address phone:** (615) 383-3690
- **Practice address fax:** (615) 383-3697
- **Mailing address:** 2125 BLAKEMORE AVE, NASHVILLE, TN 37212-3505
- **Mailing address phone:** (615) 383-3690
- **Mailing address fax:** (615) 383-3697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 3671 | TN | Yes |

## Other

- **Enumeration date:** 09/18/2014
- **Last updated:** 09/18/2014