MEDICARE: DR. ZACHARY MITCHELL ADKINS 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	122300000X	Dentist	9482	TN

General Provider Information

NPI Number	:	1376808832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY MITCHELL ADKINS D. D. S.

Provider Business Mailing Address
First Line	:	1914 CHARLOTTE AVE
Second Line	:	SUITE 104
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2198
Country	:	US
Telephone Number	:	615-320-8401
Fax Number	:	615-320-8404

Provider Business Practice Location Address
First Line	:	1914 CHARLOTTE AVE
Second Line	:	SUITE 104
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2198
Country	:	US
Telephone Number	:	615-320-8401
Fax Number	:	615-320-8404

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

Provider Enumeration Date	:	07/11/2012
Last Update Date	:	07/11/2012

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