| NPI | 1477635324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT WERTHER President 615-284-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-05-03 |