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NPI Code Detail

MEDICARE: LEMUEL DENT DO

MEDICARE: LEMUEL DENT DO
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
1208600000XSurgery Physician045766GA
22086S0102XSurgical Critical Care Physician045766GA
32086S0127XTrauma Surgery Physician42773TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235139916
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEMUEL DENT DO
Provider Business Mailing Address
First Line : 1005 DR. D.B. TODD JR. BLVD.
Second Line : SUITE 100
City : NASHVILLE
State : TN
Zip : 37208-3501
Country : US
Telephone Number : 615-327-6017
Fax Number :
Provider Business Practice Location Address
First Line : 1818 ALBION ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37208-2918
Country : US
Telephone Number : 615-341-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 10/09/2019

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Directions to “ LEMUEL DENT DO” Practice Location

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