# THE DENTAL EDGE, P.C.

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

## Provider details

- **NPI number:** 1962636191
- **Authorized official:** DR. MICHAEL W EDGE D.D.S. (PRESIDENT)
- **Authorized official phone:** (615) 373-0642

## Contact information

- **Practice address:** 5544 FRANKLIN PIKE STE 102, NASHVILLE, TN 37220-2127
- **Practice address phone:** (615) 373-0642
- **Practice address fax:** (615) 370-0778
- **Mailing address:** PO BOX 306086, NASHVILLE, TN 37230-6086
- **Mailing address phone:** (615) 373-0642
- **Mailing address fax:** (615) 370-0778

## Taxonomy

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

## Other

- **Enumeration date:** 05/01/2009
- **Last updated:** 05/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4140665 | BLUE CROSS BLUE SHIELD | TN |