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General NPI Number Information
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NPI Number | 1548463466
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Entity Type | Organization
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Legal Business Name | CHILDRENS DENTISTRY OF MURFREESBORO PLLC
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 2910 OLD FORT PKWY
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City | MURFREESBORO
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State | TN
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Zip | 37128-4158
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Country | US
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Telephone | 615-494-5437
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Fax | 615-494-4649
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Provider Business Mailing Address
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Address Line | 2910 OLD FORT PKWY
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City | MURFREESBORO
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State | TN
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Zip | 37128-4158
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Country | US
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Telephone | 615-494-5437
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Fax | 615-494-4649
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Authorized Official
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Title or Position | OWNER/ PEDIATRIC DENTIST
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Name | DR. JOSEPH A FAIZ
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Credential | DDS
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Telephone | 615-995-4928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS8406
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License Number State | TN
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