MEDICARE: DR. CECILY MICHELLE MERCADEL-WILLIAMS D.D.S.

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	7602	TN

General Provider Information

NPI Number	:	1275878803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CECILY MICHELLE MERCADEL-WILLIAMS D.D.S.

Provider Business Mailing Address
First Line	:	197 THOMPSON LN
Second Line	:	SUITE E
City	:	NASHVILLE
State	:	TN
Zip	:	37211-2415
Country	:	US
Telephone Number	:	615-837-4525
Fax Number	:	615-837-6732

Provider Business Practice Location Address
First Line	:	197 THOMPSON LN
Second Line	:	SUITE E
City	:	NASHVILLE
State	:	TN
Zip	:	37211-2415
Country	:	US
Telephone Number	:	615-837-4525
Fax Number	:	615-837-6732

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

Provider Enumeration Date	:	12/07/2012
Last Update Date	:	12/07/2012

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