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NPI Code Detail

MEDICARE: DR. NORMAN J. CALWAY-FAGEN DDS.

MEDICARE:  DR. NORMAN J. CALWAY-FAGEN  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 DentistryDS0000002388TN

General Provider Information

NPI Number : 1518171156
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORMAN J. CALWAY-FAGEN DDS.
Provider Business Mailing Address
First Line : 210 CANTRELL AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-2420
Country : US
Telephone Number : 615-297-0643
Fax Number :
Provider Business Practice Location Address
First Line : 108 HARDING PL
Second Line : SUITE 202
City : NASHVILLE
State : TN
Zip : 37205-3704
Country : US
Telephone Number : 615-352-8696
Fax Number : 615-352-7099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 07/08/2007

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Directions to “ DR. NORMAN J. CALWAY-FAGEN DDS.” Practice Location

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