| Op Dental Associates Pc | |
|
4718 Nolensville Pike Nashville TN 37211-5408 | |
| (615) 333-2833 | |
| (615) 333-2863 |
| Full Name | Op Dental Associates Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4718 Nolensville Pike, Nashville, Tennessee |
| Authorized Official Name and Position | Melvin S Polk (SECRETARY TREASURER) |
| Authorized Official Contact | 6153332833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Op Dental Associates Pc 4718 Nolensville Pike Nashville TN 37211-5408 Ph: (615) 333-2833 | Op Dental Associates Pc 4718 Nolensville Pike Nashville TN 37211-5408 Ph: (615) 333-2833 |
| NPI Number | 1063585404 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063585404 | NPI | - | NPPES |
| 9178327 | Medicaid | TN | |
| 9177774 | Other | TN | TN CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS3842 (Tennessee) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS3729 (Tennessee) | Primary |
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