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General NPI Number Information
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NPI Number | 1578067245
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Entity Type | Organization
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Legal Business Name | FERGUSON CREATIVE DENTISTRY OF NASHVILLE, P.C.
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 113 23RD AVE N
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City | NASHVILLE
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State | TN
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Zip | 37203-1701
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Country | US
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Telephone | 615-321-0922
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Fax | 615-329-9343
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Provider Business Mailing Address
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Address Line | 113 23RD AVE N
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City | NASHVILLE
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State | TN
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Zip | 37203-1701
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Country | US
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Telephone | 615-321-0922
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Fax | 615-329-9343
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Authorized Official
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Title or Position | PRESIDENT/ DENTIST
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Name | DR. NICHOLAS FERGUSON
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Credential | DDS
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Telephone | 615-321-0922
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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 |
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License Number State |
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