Organization
TENNESSEE CENTERS FOR LASER DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD O EDWARDS D.D.S. (OWNER)
(615) 595-8070
Entity
Organization
Contact information
Practice address
3046 COLUMBIA AVE, SUITE 201, FRANKLIN, TN 37064-7429
(615) 595-8070
Mailing address
3046 COLUMBIA AVENUE, SUITE 201, FRANKLIN, TN 37064
(615) 595-8070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440286
—
TN
Enumeration date
10/06/2011
Last updated
10/06/2011
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