| Cooper, Provence & Haley, Pc | |
|
207 23rd Ave N Nashville TN 37203-1501 | |
| (615) 320-1392 | |
| (615) 329-4245 |
| Full Name | Cooper, Provence & Haley, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 207 23rd Ave N, Nashville, Tennessee |
| Authorized Official Name and Position | Spencer A Haley (VICE PRESIDENT) |
| Authorized Official Contact | 6153201392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper, Provence & Haley, Pc 502 E College St Dickson TN 37055-2016 Ph: (615) 446-9669 | Cooper, Provence & Haley, Pc 207 23rd Ave N Nashville TN 37203-1501 Ph: (615) 320-1392 |
| NPI Number | 1851412811 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851412811 | NPI | - | NPPES |
| 1982601829 | Other | TN | NPI TIMOTHY D. PROVENCE |
| 2009819 | Other | TN | BCBST LINDSEY W. COOPER |
| 4607 | Other | TN | LICENSE TIMOTHY PROVENCE |
| 7219 | Other | TN | LICENSE SPENCER HALEY |
| 2006315 | Other | TN | BCBST TIMOTHY D PROVENCE |
| 1043218670 | Other | TN | NPI LINDSEY W. COOPER, |
| 1275531972 | Other | TN | NPI - SPENCER A HALEY |
| 3032 | Other | TN | LICENSE # LINDSEY W. COOP |
| 3141185 | Other | TN | BCBST SPENCER A HALEY |
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