| Trace Oral Surgery, Pllc | |
|
7146 Nolensville Rd Nolensville TN 37135-9585 | |
| (615) 776-3442 | |
| Not Available |
| Full Name | Trace Oral Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7146 Nolensville Rd, Nolensville, Tennessee |
| Authorized Official Name and Position | Jonathan Lucas (PRESIDENT) |
| Authorized Official Contact | 6153777777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trace Oral Surgery, Pllc 7004 Moores Ln Brentwood TN 37027-2905 Ph: (615) 377-7777 | Trace Oral Surgery, Pllc 7146 Nolensville Rd Nolensville TN 37135-9585 Ph: (615) 776-3442 |
| NPI Number | 1609432368 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 05/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609432368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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