PERIODONTAL & IMPLANT ASSOCIATES OF MIDDLE TENNESSEE PLLC NPI 1174952642

NPI Information

PERIODONTAL & IMPLANT ASSOCIATES OF MIDDLE TENNESSEE, PLLC is a periodontics dentist in Nashville, TN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTAL & IMPLANT ASSOCIATES OF MIDDLE TENNESSEE, PLLC NPI is 1174952642. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4205 HILLSBORO PIKE
STE. 101
NASHVILLE, TN
ZIP 37215-381
Phone: (615) 297-8973
Fax: (615) 297-6603

The provider's authorized official is Robert P Pulliam .
The authorized official title is Periodontist/owner and has the following contact phone number (615) 297-8973.

The CLIA number assigned to this NPI record is 44D2204061 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2013 and was last updated on 1/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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