| NPI | 1053083154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TEDERICK JOHNSON Group Vice President/AO 615-372-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-08-29 |