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DR. GORDON F MCCAMMON D.D.S
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1285702480
Individual Registrant:DR. GORDON F MCCAMMON D.D.S
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3515 OLD CLARKSVILLE PIKE JOELTON, TN 37080-8892 US
Tel: 615-876-0084 Fax: 615-847-1127
Tel: 615-876-0084 Fax: 615-847-1127
Contact information for business:
PO BOX 127 3515 OLD CLARKSVILLE PKE JOELTON, TN 37080-0127 US
Tel: 615-876-0084 Fax: 615-847-1127
Tel: 615-876-0084 Fax: 615-847-1127
Registration Information:
NPI: 1285702480
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | TN | DS2479 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
