TRACE ORAL SURGERY PLLC NPI 1609432368

NPI Information

  • NPI: 1609432368
  • Provider Name: TRACE ORAL SURGERY, PLLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 7146 NOLENSVILLE RD
    NOLENSVILLE, TN
    ZIP 37135
  • Phone: (615) 776-3442

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NPI Details

TRACE ORAL SURGERY, PLLC is an oral and maxillofacial surgery dentist in Nolensville, TN. The provider is an oral and maxillofacial surgery dentist specialized in 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. TRACE ORAL SURGERY, PLLC NPI is 1609432368. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7146 NOLENSVILLE RD
NOLENSVILLE, TN
ZIP 37135-585
Phone: (615) 776-3442

The provider's authorized official is Jonathan Lucas .
The authorized official title is President and has the following contact phone number (615) 377-7777.

The enumeration date for this NPI number is 5/17/2019 and was last updated on 5/17/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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