Dental Specialty Group
Dentist, Oral and Maxillofacial Pathology in Nashville, TN. Organization (NPI-2).
NPI number1114199734
StatusActive
Last updated in NPPESMar 25, 2008
Details
- NPI
- 1114199734
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Specialty Group
- Organization subpart
- No
- Enumeration date
- Mar 25, 2008
- Last updated
- Mar 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0106X | Dentist, Oral and Maxillofacial Pathology | DS7570 | TN | Yes |
Practice location
390 Harding PlSuite 101
Nashville, TN 37211-3998
Phone 615-832-6460 · Fax 615-832-6461
Mailing address
390 Harding PlSuite 101
Nashville, TN 37211-3998
Phone 615-832-6460 · Fax 615-832-6461
Authorized official
Tania Nkungula-Howlett
Owner/Dentist
6158326460
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