Provider Demographics
NPI:1659480804
Name:GASTON & MURRELL FAMILY DENTISTRY PLLC
Entity Type:Organization
Organization Name:GASTON & MURRELL FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-383-3993
Mailing Address - Street 1:2211 CRESTMOOR RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2020
Mailing Address - Country:US
Mailing Address - Phone:615-383-3993
Mailing Address - Fax:615-383-2656
Practice Address - Street 1:2211 CRESTMOOR RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2020
Practice Address - Country:US
Practice Address - Phone:615-383-3993
Practice Address - Fax:615-383-2656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0521666261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental