Individual
DR. MICHELE NICOLE BLACKLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3304 COURTNEY CT, NASHVILLE, TN 37218-2708
(615) 244-8165
Mailing address
711 MAIN ST, NASHVILLE, TN 37206-3605
(615) 620-8647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9327
TN
Other
Enumeration date
06/22/2011
Last updated
11/29/2016
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