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General NPI Number Information
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NPI Number | 1417820515
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Entity Type | Organization
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Legal Business Name | FIRST IMPRESSIONS PEDIATRIC DENTISTRY
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 7180 NOLENSVILLE RD STE 1D
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City | NOLENSVILLE
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State | TN
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Zip | 37135-2997
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Country | US
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Telephone | 615-283-0086
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Fax | 615-776-1448
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Provider Business Mailing Address
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Address Line | 7180 NOLENSVILLE RD STE 1D
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City | NOLENSVILLE
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State | TN
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Zip | 37135-2997
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Country | US
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Telephone | 615-283-0086
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Fax | 615-776-1448
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JONMARC GEDEON
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Credential |
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Telephone | 615-283-0086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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