| NPI | 1740683143 |
|---|---|
| Doing Business As | ORAL SURGERY INSTITUTE - COOL SPRINGS |
| Entity Type | Organization |
| Authorized Contact | TRACY MILLER Cred Supervisor 615-329-4401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2022-01-11 |