Provider Demographics
NPI:1184911539
Name:BIGGS, NINA FERRELL (DDS)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:FERRELL
Last Name:BIGGS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:FERRELL
Other - Last Name:SHERRILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2289 RUDOLPHTOWN ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043
Mailing Address - Country:US
Mailing Address - Phone:931-647-2243
Mailing Address - Fax:931-645-8553
Practice Address - Street 1:2289 RUDOLPHTOWN ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043
Practice Address - Country:US
Practice Address - Phone:931-647-2243
Practice Address - Fax:931-645-8553
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN93351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice