Healthcare Provider Details

I. General information

NPI: 1851679146
Provider Name (Legal Business Name): HF DENTAL MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 08/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3067 BRICK CHURCH PIKE
NASHVILLE TN
37207
US

IV. Provider business mailing address

3067 BRICK CHURCH PIKE
NASHVILLE TN
37207
US

V. Phone/Fax

Practice location:
  • Phone: 615-226-7516
  • Fax: 615-226-7595
Mailing address:
  • Phone: 615-226-7516
  • Fax: 615-226-7595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number4601
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4601
License Number StateTN

VIII. Authorized Official

Name: DR. HARRY FELDER JR.
Title or Position: PRESIDENT/CEO
Credential: D.D.S.
Phone: 615-226-7516