| NPI | 1336154996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HAMMOND Office Manager 615-890-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN ds7232) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |