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PROVENCE AND HALEY PC NPI 1225263460


NPI Information

NPI: 1225263460
Provider Name: PROVENCE AND HALEY, PC

Other Name: TENNESSEE ORAL & MAXILLOFACIAL SURGEONS

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4322 HARDING PIKE
SUITE 201
NASHVILLE, TN
ZIP 37205
Phone: (615) 829-7000
Get Directions

PROVENCE AND HALEY, PC is an oral and maxillofacial surgery dentist in Nashville, TN. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PROVENCE AND HALEY, PC NPI is 1225263460. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Tennessee Oral & Maxillofacial Surgeons.

The provider's business location address is:

4322 HARDING PIKE
SUITE 201
NASHVILLE, TN
ZIP 37205-490
Phone: (615) 829-7000
Fax: (615) 829-7001

The provider's authorized official is Mina H Harris .
The authorized official title is Office Manager and has the following contact phone number (615) 419-1943.

The enumeration date for this NPI number is 5/18/2009 and was last updated on 5/18/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryDS4607TENNESSEENo
21223S0112XDentistOral and Maxillofacial SurgeryDS7219TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12006315OTHERTENNESSEEBCBST
23141185OTHERTENNESSEEBCBST
37219OTHERTENNESSEEDENTAL LICENSE
4U29514MEDICARE UPINTENNESSEE
51275531972OTHERNPI
63226483MEDICARE PINTENNESSEE
7667954OTHERUNITED CONCORDIA
8U74960MEDICARE UPINTENNESSEE
9918666OTHERUNITED CONCORDIA
101982601829OTHERNPI
114607OTHERTENNESSEEDENTAL LICENSE
123226504MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.