Individual
DR. PHILLIP HUTSON FAUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4027 HILLSBORO PIKE, SUITE 805, NASHVILLE, TN 37215-2782
(615) 383-4455
(615) 383-4032
Mailing address
4027 HILLSBORO PIKE, SUITE 805, NASHVILLE, TN 37215-2782
(615) 383-4455
(615) 383-4032
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5956 C1
AL
1223E0200X
Endodontics
Primary
9310
TN
1223G0001X
General Practice Dentistry
9310
TN
390200000X
Student in an Organized Health Care Education/Training Program
5956 C1
AL
Other
Enumeration date
06/21/2011
Last updated
07/02/2014
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