Organization
RIVERGATE DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W EDGE DDS (PRESIDENT)
(615) 370-4605
Entity
Organization
Contact information
Practice address
85 CUDE LN, MADISON, TN 37115-2292
(615) 859-2262
Mailing address
PO BOX 306087, NASHVILLE, TN 37230-6087
(615) 859-2262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS02226
TN
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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