Fairview Dental Associates, P.c.

NPI #1174757702 in Fairview, Tennessee

Provider Information

NPI Number: 1174757702
Entity Type: Organization
Organization Name: Fairview Dental Associates, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 11, 2009
Last Updated: May 11, 2009

Practice Location

Address: 1696 FAIRVIEW BLVD STE 104
City: Fairview
State: Tennessee
ZIP Code: 37062-5144
Phone: (615) 799-9234

Authorized Official

Name: DR. MICHAEL W EDGE, D.D.S.
Title: PRESIDENT
Phone: (615) 799-9234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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