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DR. EDWARD BRYAN ELKINS DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1396862645

Individual Registrant:
DR. EDWARD BRYAN ELKINS DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
109 FRONT ST S  COWAN, TN 37318-3311 US
Tel: 931-967-7092  Fax: 931-967-7303

Contact information for business:
PO BOX 516  COWAN, TN 37318-0516 US
Tel: 931-967-7092  Fax: 931-967-7303

Registration Information:
NPI: 1396862645
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
TNDS006868

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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