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2400 Patterson St Ste 316 Nashville TN 37203-1562 | |
| (615) 327-3534 | |
| (615) 327-3552 |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2400 Patterson St, Nashville, Tennessee |
| Authorized Official Name and Position | Lisa Keough (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4058487974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 26485 Oklahoma City OK 73126-0485 Ph: (405) 848-7974 | 2400 Patterson St Ste 316 Nashville TN 37203-1562 Ph: (615) 327-3534 |
| NPI Number | 1144583725 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144583725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9422 (Tennessee) | Primary |
Meharry Medical College, School Of Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Db Todd Blvd, Meharry Medical College, School Of Dentistry 1007db Tod, Nashville, TN 37208 Phone: 615-327-6360 Fax: 615-327-6360 | |
Access Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 Patterson St, Nashville, TN 37203 Phone: 615-678-8965 | |
Tn Dental Professionals Ii Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Gallatin Ave Ste 115, Nashville, TN 37206 Phone: 615-620-5990 | |