MR. MICHAEL W EDGE (NPI# 1407959190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407959190 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL W EDGE |
| Credential | DDS |
| Practice Address |
85 Cude Ln Madison TN 37115-2292 |
| Mailing Address |
Po Box 305172 Dept 56 Nashville TN 37230-5172 |
| Practice Telephone | 6158592262 |
| Practice Fax Number | 6158591532 |
| Mailing Telephone | 6154252708 |
| Mailing Fax Number | 6153700778 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS02226 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 2007475 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740562867 | Michael H Edge | Pharmacist | 929 West Owen K. Garriott Rd., Enid, OK 73703-5312 | 2011-09-14 |
| Street Address |
85 CUDE LN |
| City | MADISON |
| State | TN |
| Zip Code | 37115-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306837851 | Harold Clay Peeples | Dentist | 85 Cude Ln, Madison, TN 37115-2292 | 2005-11-03 |
| 1760614606 | Rivergate Dental Associates PC | Dentist | 85 Cude Ln, Madison, TN 37115-2292 | 2009-08-11 |
| 1073774360 | W. Clark Higgs, D.d.s. | Dentist | 85 Cude Ln, Madison, TN 37115-2292 | 2008-06-19 |
| 1245416429 | Harold C. Peeples, Dds, PC | Dentist | 85 Cude Ln, Madison, TN 37115-2292 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1841817657 | Kimberly Nicole Lee | Dentist | 105 Broadmoor Dr, Madison, MS 39110-6651 | 2020-06-26 |
| 1831713213 | Scarlett La'ree Johnson | Dentist | 155 Millhouse Dr, Madison, MS 39110-6964 | 2020-06-02 |
| 1447899653 | Say Ahh Family and Cosmetic Dentistry LLC | Dentist | 7559 Highway 72 W Ste 105a105b, Madison, AL 35758-8811 | 2020-01-06 |
| 1982245395 | Treehouse Children's Dentistry, LLC | Dentist | 7559 Highway 72 W Ste 108, Madison, AL 35758-8816 | 2019-10-07 |
| 1205480423 | Abtin Iranmanesh | Dentist | 7564 Highway 72 W Ste C, Madison, AL 35758-9437 | 2019-07-25 |
| 1396238226 | Nathalie M Gomez-leon | Dentist | 7278 Highway 72 W Ste A, Madison, AL 35758-9551 | 2018-06-14 |
| 1164915518 | Lauren Faustmann | Dentist | 20 Hughes Rd # 104, Madison, AL 35758-2237 | 2018-06-11 |
| 1669963518 | Fahad Al-fadhli | Dentist | 109 Sycamore Rdg, Madison, MS 39110-7333 | 2018-05-27 |
| 1346752441 | Pignataro Family Dentistry, PC | Dentist | 7950 Highway 72 W Ste F, Madison, AL 35758-6420 | 2017-10-30 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.