Dr. Botros Gamal Aiyad, DDS
Dentist in Cookeville, TN. Individual provider (NPI-1).
NPI number1720697444
StatusActive
Last updated in NPPESJul 28, 2020
Details
- NPI
- 1720697444
- Entity type
- Individual (NPI-1)
- Name
- Dr. Botros Gamal Aiyad
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2020
- Certification date
- Jul 28, 2020
- Last updated
- Jul 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 11379 | TN | Yes |
Practice location
220 N Washington AveCookeville, TN 38501-2642
Phone 615-554-6019
Mailing address
901 Crownhill DrNashville, TN 37217-1403
Phone 615-554-6019
Other practice locations
901 Crownhill Dr
Nashville, TN 37217-1403
Nashville, TN 37217-1403
Phone 615-554-6019
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