Provider Demographics
NPI:1942282629
Name:NUNN, MARTIN ANDERSON (DMD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ANDERSON
Last Name:NUNN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 HARDING RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2118
Mailing Address - Country:US
Mailing Address - Phone:615-385-0065
Mailing Address - Fax:615-385-0066
Practice Address - Street 1:4515 HARDING RD
Practice Address - Street 2:SUITE 112
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2118
Practice Address - Country:US
Practice Address - Phone:615-385-0065
Practice Address - Fax:615-385-0066
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS78091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice