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General NPI Number Information
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NPI Number | 1467909929
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Entity Type | Organization
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Legal Business Name | BELLE MEADE SMILE CENTER, PLLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 4515 HARDING PIKE STE 312
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City | NASHVILLE
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State | TN
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Zip | 37205-2197
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Country | US
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Telephone | 615-292-4100
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Fax | 615-292-4181
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Provider Business Mailing Address
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Address Line | 4515 HARDING PIKE, SUITE 312
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City | NASHVILLE
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State | TN
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Zip | 37205
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Country | US
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Telephone | 615-292-4100
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Fax | 615-292-4181
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. PHILLIP PALMER SHIPP IV
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Credential | DDS
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Telephone | 615-292-4100
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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 | DS0000007126
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License Number State | TN
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