MEDICARE: DR. KEVIN CAMARGO DOURADO DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	13147	TN

General Provider Information

NPI Number	:	1053258087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN CAMARGO DOURADO DDS

Provider Business Mailing Address
First Line	:	4 ACADEMY PL APT 135
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37210-2275
Country	:	US
Telephone Number	:	305-776-0696
Fax Number	:

Provider Business Practice Location Address
First Line	:	4219 HILLSBORO PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-3328
Country	:	US
Telephone Number	:	629-276-6170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	06/27/2026

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