# MARQUIS MOBILE DENTAL SERVICES LLC

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

## Provider details

- **NPI number:** 1669743308
- **Authorized official:** MR. MARK NAPPER (CEO)
- **Authorized official phone:** (615) 225-8903

## Contact information

- **Practice address:** 2626 MERCHANTS WALK, MURFREESBORO, TN 37128-2863
- **Practice address phone:** (615) 225-8903
- **Practice address fax:** (615) 225-8915
- **Mailing address:** 2626 MERCHANTS WALK, MURFREESBORO, TN 37128-2863
- **Mailing address phone:** (615) 225-8903
- **Mailing address fax:** (615) 225-8915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS1453 | TN | — |
| 1223G0001X | General Practice Dentistry | DS1581 | TN | — |
| 1223G0001X | General Practice Dentistry | DS3267 | TN | — |
| 1223G0001X | General Practice Dentistry | DS3788 | TN | — |
| 1223G0001X | General Practice Dentistry | DS4216 | TN | Yes |
| 1223G0001X | General Practice Dentistry | DS4508 | TN | — |
| 1223G0001X | General Practice Dentistry | DS9003 | TN | — |
| 1223G0001X | General Practice Dentistry | DS9005 | TN | — |
| 1223G0001X | General Practice Dentistry | DS9083 | TN | — |

## Other

- **Enumeration date:** 01/25/2012
- **Last updated:** 01/25/2012