Middle Tennessee Oral Surgery Center | |
1801 Church St Nashville TN 37203-2201 | |
(615) 327-2626 | |
(615) 327-2607 |
Full Name | Middle Tennessee Oral Surgery Center |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1801 Church St, Nashville, Tennessee |
Authorized Official Name and Position | Noma Gwebu (OFFICE MANAGER) |
Authorized Official Contact | 6153272626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Middle Tennessee Oral Surgery Center Po Box 2162 Brentwood TN 37024-2162 Ph: (615) 327-2626 | Middle Tennessee Oral Surgery Center 1801 Church St Nashville TN 37203-2201 Ph: (615) 327-2626 |
NPI Number | 1659546455 |
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Provider Enumeration Date | 04/23/2008 |
Last Update Date | 04/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659546455 | NPI | - | NPPES |
9176594 | Other | TN | DORAL |
0015802 | Other | TN | ASSURANT |
1605591 | Other | TN | UNITED CONCORDIA |
281433 | Other | TN | CIGNA |
3731118 | Medicaid | TN | |
4154703 | Other | TN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8035 (Tennessee) | Primary |
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