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General NPI Number Information
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NPI Number | 1538320593
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Entity Type | Organization
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Legal Business Name | CHILDREN'S DENTAL ASSOCIATES
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 6000 TROTWOOD AVE
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City | COLUMBIA
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State | TN
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Zip | 38401
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Country | US
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Telephone | 931-381-9721
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Fax | 931-381-3507
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Provider Business Mailing Address
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Address Line | 6000 TROTWOOD AVE
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City | COLUMBIA
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State | TN
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Zip | 38401-7003
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Country | US
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Telephone | 931-381-9721
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Fax | 931-381-3507
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. HEATHER H OWENS
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Credential | DDS
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Telephone | 931-381-9721
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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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