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General NPI Number Information
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NPI Number | 1104754852
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Entity Type | Organization
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Legal Business Name | DAVID ROACH DDS FAMILY DENTISTRY PC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 3824 BEDFORD AVE
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City | NASHVILLE
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State | TN
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Zip | 37215-2506
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Country | US
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Telephone | 615-383-7801
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Fax | 615-297-2834
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Provider Business Mailing Address
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Address Line | 3824 BEDFORD AVE
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City | NASHVILLE
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State | TN
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Zip | 37215-2506
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Country | US
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Telephone | 615-383-7801
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Fax | 615-297-2834
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. CHARLES DAVID ROACH
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Credential | DDS
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Telephone | 615-400-5246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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