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General NPI Number Information
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NPI Number | 1508057274
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Entity Type | Individual
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Provider Name | THOMAS BUFORD GATGENS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 12/11/2024
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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 | 615-212-1455
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Provider Business Mailing Address
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Address Line | 156 W BROADWAY BLVD
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City | JEFFERSON CITY
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State | TN
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Zip | 37760-1998
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Country | US
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Telephone | 865-475-7901
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Fax | 865-475-8133
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 8654
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License Number State | TN
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