| Matt Gorham Jr., D.d.s., P.c. | |
|
124 30th Ave N Nashville TN 37203-1308 | |
| (615) 327-4914 | |
| (615) 327-3892 |
| Full Name | Matt Gorham Jr., D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 124 30th Ave N, Nashville, Tennessee |
| Authorized Official Name and Position | Matt J. Gorham (PRESIDENT) |
| Authorized Official Contact | 6153274914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matt Gorham Jr., D.d.s., P.c. 124 30th Ave N Nashville TN 37203-1308 Ph: (615) 327-4914 | Matt Gorham Jr., D.d.s., P.c. 124 30th Ave N Nashville TN 37203-1308 Ph: (615) 327-4914 |
| NPI Number | 1053399196 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053399196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4826 (Tennessee) | Primary |
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