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Organization

FAIRVIEW DENTAL ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL W EDGE D.D.S. (PRESIDENT)
(615) 799-9234
Entity
Organization

Contact information

Practice address
1696 FAIRVIEW BLVD STE 104, FAIRVIEW, TN 37062-5144
(615) 799-9234
(615) 799-9626
Mailing address
PO BOX 306067, NASHVILLE, TN 37230-6067
(615) 370-4605
(615) 370-0778

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS6982
TN

Other

Enumeration date
05/11/2009
Last updated
05/11/2009
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