| NPI | 1154615722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A FOX Dentist/Owner 615-859-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS5023) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TN DS7841) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 9139) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |