Organization
THE DENTAL EDGE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W EDGE D.D.S. (PRESIDENT)
(615) 373-0642
Entity
Organization
Contact information
Practice address
5544 FRANKLIN PIKE STE 102, NASHVILLE, TN 37220-2127
(615) 373-0642
(615) 370-0778
Mailing address
PO BOX 306086, NASHVILLE, TN 37230-6086
(615) 373-0642
(615) 370-0778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS02226
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4140665
BLUE CROSS BLUE SHIELD
TN
Enumeration date
05/01/2009
Last updated
05/01/2009
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