Organization
GAW FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED W. GAW DDS (OWNER/GENERAL DENTIST)
(931) 268-2869
Entity
Organization
Contact information
Practice address
187 N GRUNDY QUARLES HWY, GAINESBORO, TN 38562-9691
(931) 268-2869
(931) 268-9837
Mailing address
187 N GRUNDY QUARLES HWY, GAINESBORO, TN 38562-9691
(931) 268-2869
(931) 268-9837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000003304
TN
1223G0001X
General Practice Dentistry
DS0000009536
TN
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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