Individual
TAYLOR TRACY DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
324 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
(615) 321-6175
Mailing address
324 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
(615) 321-6175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10808
TN
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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