MEDICARE: MINA GOIRGY 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
1	1223G0001X	General Practice Dentistry	12545	TN

General Provider Information

NPI Number	:	1710723523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINA GOIRGY DMD

Provider Business Mailing Address
First Line	:	490 FORTRESS BLVD
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-5156
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 THOMPSON LN
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-2580
Country	:	US
Telephone Number	:	615-600-1509
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2024
Last Update Date	:	02/19/2026

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