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General NPI Number Information
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NPI Number | 1013280676
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Entity Type | Individual
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Provider Name | ALEC JACOB TEMLOCK DMD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 2000 21ST AVE S
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City | NASHVILLE
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State | TN
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Zip | 37212-4362
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Country | US
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Telephone | 615-385-3334
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Fax | 615-385-3335
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Provider Business Mailing Address
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Address Line | 4121 ELDER PL
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City | NASHVILLE
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State | TN
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Zip | 37215-1732
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Country | US
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Telephone | 617-895-8766
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 58799
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 12468
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License Number State | TN
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