| Oral & Facial Surgery Group Pc | |
|
300 20th Ave N Ste 606 Nashville TN 37203-5606 | |
| (615) 284-5650 | |
| (615) 284-5653 |
| Full Name | Oral & Facial Surgery Group Pc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 300 20th Ave N Ste 606, Nashville, Tennessee |
| Authorized Official Name and Position | John Robert Werther (PRESIDENT) |
| Authorized Official Contact | 6152845650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Facial Surgery Group Pc 300 20th Ave N Ste 606 Nashville TN 37203-5606 Ph: (615) 284-5650 | Oral & Facial Surgery Group Pc 300 20th Ave N Ste 606 Nashville TN 37203-5606 Ph: (615) 284-5650 |
| NPI Number | 1477635324 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 05/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477635324 | NPI | - | NPPES |
| 1518204 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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