| Southern Oral And Facial Surgery | |
|
3000 Stansberry Lane Suite 101 Franklin TN 37069 | |
| (615) 591-0919 | |
| (615) 599-6762 |
| Full Name | Southern Oral And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3000 Stansberry Lane, Franklin, Tennessee |
| Authorized Official Name and Position | Howard Daniel Clark (MANAGING PARTNER) |
| Authorized Official Contact | 6155910919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oral And Facial Surgery 3000 Stansberry Lane Suite 101 Franklin TN 37069 Ph: (615) 591-0919 | Southern Oral And Facial Surgery 3000 Stansberry Lane Suite 101 Franklin TN 37069 Ph: (615) 591-0919 |
| NPI Number | 1679671986 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679671986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8111 (Tennessee) | Primary |
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