Individual
MEREDITH SICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4502 CHARLOTTE AVE, NASHVILLE, TN 37209-3610
(615) 647-8421
Mailing address
6110A CALIFORNIA AVE, NASHVILLE, TN 37209-1321
(361) 944-7300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11877
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
07/19/2022
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