Individual
DR. DOUGLAS B DUGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7612 POPLAR PIKE, GERMANTOWN, TN 38138
(901) 755-7600
(901) 753-4262
Mailing address
7612 POPLAR PIKE, GERMANTOWN, TN 38138
(901) 755-7600
(901) 753-4262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2889
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-0989806
TAX IDENTIFICATION NUMBER
TN
Enumeration date
11/07/2006
Last updated
09/22/2011
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