Fairview Dental Associates, P.C.

Organization Active NPI General Practice Dentistry · Fairview, TN

NPI 1174757702 · NPPES record last updated May 11, 2009

Key facts

NPI
1174757702
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS6982 (TN)
Legal business name
FAIRVIEW DENTAL ASSOCIATES, P.C.
Practice address
1696 Fairview Blvd Ste 104
Fairview, TN 37062-5144
Phone
(615) 799-9234
Fax
(615) 799-9626
NPI assigned
May 11, 2009
Organization subpart
No

Authorized official

Name
Dr. Michael W Edge, D.D.S.
Title
President
Phone
(615) 799-9234

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DS6982 TN Yes

Addresses

Primary practice location

1696 Fairview Blvd Ste 104
Fairview, TN 37062-5144

Mailing address

PO Box 306067
Nashville, TN 37230-6067
Phone (615) 370-4605

Other providers in Fairview, TN

All providers in Fairview, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.