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NPI Code Detail

MEDICARE: DR. MICHELLE PARDUE DDS

MEDICARE:  DR. MICHELLE  PARDUE  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
11223G0001XGeneral Practice Dentistry5413TN

General Provider Information

NPI Number : 1326029752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE PARDUE DDS
Provider Business Mailing Address
First Line : 1015 E TRINITY LN
Second Line :
City : NASHVILLE
State : TN
Zip : 37216-3029
Country : US
Telephone Number : 615-862-6727
Fax Number : 615-880-1540
Provider Business Practice Location Address
First Line : 1015 E TRINITY LN
Second Line :
City : NASHVILLE
State : TN
Zip : 37216-3029
Country : US
Telephone Number : 615-862-6727
Fax Number : 615-880-1540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2005
Last Update Date : 06/09/2016

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Directions to “ DR. MICHELLE PARDUE DDS” Practice Location

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