MEDICARE: GENX INVESTMENTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	8301	TN
2	122300000X	Dentist	8290	TN

General Provider Information

NPI Number	:	1093179970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENX INVESTMENTS LLC

Provider Business Mailing Address
First Line	:	4219 HILLSBORO PIKE
Second Line	:	STE 100
City	:	NASHVILLE
State	:	TN
Zip	:	37215-3328
Country	:	US
Telephone Number	:	615-383-4494
Fax Number	:

Provider Business Practice Location Address
First Line	:	4219 HILLSBORO PIKE
Second Line	:	STE 100
City	:	NASHVILLE
State	:	TN
Zip	:	37215-3328
Country	:	US
Telephone Number	:	615-383-4494
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STANLEY AARON MONTEE
Credential	:	DMD
Telephone Number	:	931-220-9469

Provider Enumeration Date	:	04/07/2016
Last Update Date	:	04/07/2016

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