DR. NORMAN HEATHERSALL CORDICE JR.


Address: 3803 Hydes Ferry Rd, Suite A, Nashville, TN 37218-2645
Phone: 6157321097

DR. NORMAN HEATHERSALL CORDICE JR. (NPI# 1558421610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558421610
Entity Type Individual
Full Name DR. NORMAN HEATHERSALL CORDICE JR.
Credential DDS
Practice Address 3803 Hydes Ferry Rd
Suite A
Nashville
TN 37218-2645
Practice Telephone 6157321097
Practice Fax Number 6158648970
Mailing Telephone 6157321097
Mailing Fax Number 6158648970
Enumeration Date 2006-12-11
Last Update Date 2013-06-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice DS0000004031 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TENNCARE 14732 01
DELTA DENTAL 621857610 01
DORAL 138536020 01

Office Location

Street Address 3803 HYDES FERRY RD
SUITE A
City NASHVILLE
State TN
Zip Code 37218-2645

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NPI Name Taxonomy Address Enumeration
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1124677471 Janice Lacy Speech-Language Pathologist 3309 Brome Ln, Nashville, TN 37218-1038 2019-09-10
1164976106 Marian Evans Social Worker 3345 Brome Ln, Nashville, TN 37218-1038 2016-08-08
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City NASHVILLE
Zip Code 37218

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Dataset Information

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.

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