Matthew Pontell, M.D.
Surgery, Plastic and Reconstructive Surgery in Nashville, TN. Individual provider (NPI-1).
NPI number1982017133
StatusActive
Last updated in NPPESNov 11, 2024
Details
- NPI
- 1982017133
- Entity type
- Individual (NPI-1)
- Name
- Matthew Pontell
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2014
- Certification date
- Nov 11, 2024
- Last updated
- Nov 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | 67819 | TN | Yes |
| 208600000X | Surgery | 67819 | TN | |
| 208600000X | Surgery | MT207322 | PA |
Practice location
3601 The Vanderbilt ClinicNashville, TN 37232-1101
Phone 615-322-3000
Mailing address
3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Other practice locations
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