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General NPI Number Information
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NPI Number | 1114716966
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Entity Type | Organization
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Legal Business Name | BELLE MEADE ENDODONTICS PC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 5115 HARDING PIKE STE 202
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City | NASHVILLE
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State | TN
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Zip | 37205-2722
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Country | US
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Telephone | 629-216-3531
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 HARDING PIKE STE 202
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City | NASHVILLE
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State | TN
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Zip | 37205-2722
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Country | US
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Telephone | 629-216-3531
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. KATELYN FERGUSON
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Credential |
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Telephone | 615-428-3912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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