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General NPI Number Information
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NPI Number | 1942732102
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Entity Type | Individual
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Provider Name | MELISSA DANIELLE PORTER DDS, MHS
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Gender | Female
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 2829 COLUMBINE PL
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City | NASHVILLE
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State | TN
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Zip | 37204-3103
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Country | US
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Telephone | 615-440-5188
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Fax | 615-241-5120
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Provider Business Mailing Address
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Address Line | 433 PARMLEY LN
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City | NASHVILLE
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State | TN
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Zip | 37207-2614
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Country | US
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Telephone | 256-503-3348
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10852
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License Number State | TN
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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 | 10852
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License Number State | TN
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