Provider Demographics
NPI:1568451755
Name:PERDUE, EDWARD C (DDS)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:C
Last Name:PERDUE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8120 SAWYER BROWN RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1410
Mailing Address - Country:US
Mailing Address - Phone:615-662-2191
Mailing Address - Fax:615-662-2129
Practice Address - Street 1:8120 SAWYER BROWN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1410
Practice Address - Country:US
Practice Address - Phone:615-662-2191
Practice Address - Fax:615-662-2129
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2011-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNTN68631223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry