MEDICARE: MARGERY F FRIDAY DDS PA

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	DN8159	FL
2	1223G0001X	General Practice Dentistry	DS3422	TN

General Provider Information

NPI Number	:	1811152002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGERY F FRIDAY DDS PA

Provider Business Mailing Address
First Line	:	5207 SHENANDOAH CT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37220-1712
Country	:	US
Telephone Number	:	239-340-0621
Fax Number	:

Provider Business Practice Location Address
First Line	:	5207 SHENANDOAH CT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37220-1712
Country	:	US
Telephone Number	:	239-340-0621
Fax Number	:

Authorized Official
Title or Position	:	DDS
Name	:	DR. MARGERY FLOYD FRIDAY
Credential	:	DDS
Telephone Number	:	239-340-0621

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	02/19/2010

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