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General NPI Number Information
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NPI Number | 1750964854
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Entity Type | Organization
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Legal Business Name | DENTAL HAUS GERMANTOWN PLLC
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 1390 ADAMS ST STE 12
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City | NASHVILLE
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State | TN
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Zip | 37208-1793
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Country | US
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Telephone | 615-412-2585
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Fax |
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Provider Business Mailing Address
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Address Line | 1390 ADAMS ST STE 12
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City | NASHVILLE
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State | TN
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Zip | 37208-1793
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Country | US
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Telephone | 615-412-2585
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Fax |
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Authorized Official
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Title or Position | DOCTOR/ OWNER
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Name | CLINT EDWIN NEWMAN
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Credential | D.D.S.
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Telephone | 615-385-3507
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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 |
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License Number State |
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