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General NPI Number Information
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NPI Number | 1720332539
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Entity Type | Organization
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Legal Business Name | DENTAL SOLUTIONS OF MURFREESBORO,PLLC
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 745 S CHURCH ST SUITE 209
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City | MURFREESBORO
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State | TN
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Zip | 37130-4984
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Country | US
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Telephone | 615-956-7120
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Fax | 615-895-7536
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Provider Business Mailing Address
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Address Line | 745 S CHURCH ST SUITE 209
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City | MURFREESBORO
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State | TN
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Zip | 37130-4984
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Country | US
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Telephone | 615-956-7120
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Fax | 615-895-7536
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DAVID T JOHNSON
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Credential | D.M.D.
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Telephone | 615-956-7120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 7261
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License Number State | TN
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