Most Relevant Information
Provider Data
| NPI Number: | 1003496357 |
| Provider Name: | MEREDITH SICO DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2021 |
| Last Updated: | 07/19/2022 |
Provider Practice Location
4502 CHARLOTTE AVE
NASHVILLE
TN
372093610
Practice Location Phone/Fax
| Phone: | 6156478421 |
| Fax: |
Provider Mailing Location
6110A CALIFORNIA AVE
NASHVILLE
TN
372091321
Provider Mailing Phone/Fax
| Phone: | 3619447300 |
| Fax: |