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General NPI Number Information
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NPI Number | 1275347981
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Entity Type | Organization
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Legal Business Name | CAPITOL VIEW DENTAL, PLLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 601 11TH AVE N STE 104
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City | NASHVILLE
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State | TN
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Zip | 37203-4269
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Country | US
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Telephone | 615-277-1087
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 5TH AVE N APT 340
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City | NASHVILLE
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State | TN
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Zip | 37208-2874
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Country | US
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Telephone | 302-384-4197
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATTHEW DOUGLAS SMITH
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Credential | DDS
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Telephone | 302-384-4197
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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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