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NPI Code Detail

MEDICARE: DR. MIRNA A CALDWELL DMD

MEDICARE: DR. MIRNA A CALDWELL DMD
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
11223P0221XPediatric DentistryDS0000008161TN

General Provider Information

NPI Number : 1437277894
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIRNA A CALDWELL DMD
Provider Business Mailing Address
First Line : 5505 EDMONDSON PIKE
Second Line : SUITE 204
City : NASHVILLE
State : TN
Zip : 37211-5869
Country : US
Telephone Number : 615-834-1383
Fax Number : 615-834-1385
Provider Business Practice Location Address
First Line : 5505 EDMONDSON PIKE
Second Line : SUITE 204
City : NASHVILLE
State : TN
Zip : 37211-5869
Country : US
Telephone Number : 615-834-1383
Fax Number : 615-834-1385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MIRNA A CALDWELL DMD” Practice Location

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