MIDDLE TENNESSEE ORAL SURGERY CENTER NPI 1659546455

NPI Information

MIDDLE TENNESSEE ORAL SURGERY CENTER 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. MIDDLE TENNESSEE ORAL SURGERY CENTER NPI is 1659546455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 CHURCH ST
NASHVILLE, TN
ZIP 37203-201
Phone: (615) 327-2626
Fax: (615) 327-2607

The provider's authorized official is Noma Gwebu .
The authorized official title is Office Manager and has the following contact phone number (615) 327-2626.

The CLIA number assigned to this NPI record is 44D1079363 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 4/23/2008.

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:

Other Identifiers

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