Healthcare Provider Details

I. General information

NPI: 1700968443
Provider Name (Legal Business Name): GAIL LYNN SCHERER RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 05/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

IV. Provider business mailing address

5306 ELKINS AVE
NASHVILLE TN
37209-3331
US

V. Phone/Fax

Practice location:
  • Phone: 615-853-7120
  • Fax: 615-321-6339
Mailing address:
  • Phone: 615-853-7120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number22HI00631900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: