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Individual

VINCENT BRADLEY ATKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2618 MERCHANTS WALK, MURFREESBORO, TN 37128-2863
(615) 217-7878
(615) 217-9809
Mailing address
2618 MERCHANTS WALK, MURFREESBORO, TN 37128-2863
(615) 217-7878
(615) 217-9809

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
7905
TN
1223G0001X
General Practice Dentistry
Primary
7905
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103863
DORAL PROVIDER ID #
TN
05
3205693
TN
Enumeration date
01/04/2006
Last updated
09/14/2010
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