Provider Demographics
NPI:1447572235
Name:FRIDAY, MARGERY FLOYD (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGERY
Middle Name:FLOYD
Last Name:FRIDAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7095 HIGHWAY 70 S
Mailing Address - Street 2:SUITE DD
Mailing Address - City:BELLEVUE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2207
Mailing Address - Country:US
Mailing Address - Phone:615-673-7627
Mailing Address - Fax:
Practice Address - Street 1:7095 HIGHWAY 70 S
Practice Address - Street 2:SUITE DD
Practice Address - City:BELLEVUE
Practice Address - State:TN
Practice Address - Zip Code:37221-2207
Practice Address - Country:US
Practice Address - Phone:615-673-7627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS 3422122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist