| Center For Oral & Facial Surgery, Pc | |
|
1801 Church St Nashville TN 37203-2201 | |
| (615) 327-2494 | |
| Not Available |
| Full Name | Center For Oral & Facial Surgery, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1801 Church St, Nashville, Tennessee |
| Authorized Official Name and Position | Deji A Ogundiya (ORAL SURGEON) |
| Authorized Official Contact | 6153272494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Oral & Facial Surgery, Pc Po Box 23131 Nashville TN 37202-3131 Ph: () - | Center For Oral & Facial Surgery, Pc 1801 Church St Nashville TN 37203-2201 Ph: (615) 327-2494 |
| NPI Number | 1780700559 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284821943 |
|---|---|
| Medicare Enrollment ID | O20101207000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780700559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS5165 (Tennessee) | Primary |
| Provider Name | Deji A Ogundiya |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184734386 PECOS PAC ID: 7810184587 Enrollment ID: I20101207000550 |
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