# RIVERGATE DENTAL ASSOCIATES PC

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

## Provider details

- **NPI number:** 1760614606
- **Authorized official:** MICHAEL W EDGE DDS (PRESIDENT)
- **Authorized official phone:** (615) 370-4605

## Contact information

- **Practice address:** 85 CUDE LN, MADISON, TN 37115-2292
- **Practice address phone:** (615) 859-2262
- **Mailing address:** PO BOX 306087, NASHVILLE, TN 37230-6087
- **Mailing address phone:** (615) 859-2262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS02226 | TN | Yes |

## Other

- **Enumeration date:** 08/11/2009
- **Last updated:** 08/11/2009