| Tn Oms Specialty Dental Services, Pllc | |
|
1324 Trotwood Ave Ste 3 Columbia TN 38401-4750 | |
| (931) 381-0340 | |
| Not Available |
| Full Name | Tn Oms Specialty Dental Services, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1324 Trotwood Ave Ste 3, Columbia, Tennessee |
| Authorized Official Name and Position | Charlotte Dasch (DIREC OF CRED AND PR) |
| Authorized Official Contact | 2144532565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tn Oms Specialty Dental Services, Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Tn Oms Specialty Dental Services, Pllc 1324 Trotwood Ave Ste 3 Columbia TN 38401-4750 Ph: (931) 381-0340 |
| NPI Number | 1467292219 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467292219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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