44D2268960 CLIA NUMBER - NOLO FAMILY PRACTICE DBA DICKSON MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 44D2268960

Facility Name: NOLO FAMILY PRACTICE DBA DICKSON MEDICAL ASSOCIATES

Facility Address:
7175 NOLENSVILLE ROAD, SUITE 109
NOLENSVILLE, TN
ZIP 37135
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Facility Phone Number: 615 527-6872

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699157255

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	44D2268960
LAB Type	Physician Office
Facility Name	NOLO FAMILY PRACTICE DBA DICKSON MEDICAL ASSOCIATES
Street	7175 NOLENSVILLE ROAD, SUITE 109
City	NOLENSVILLE
State	TN
ZIP	37135
Phone	615 527-6872
CertificateType	4
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024