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Organization
ORAL FACIAL SURGERY CENTER
Active
Organization
ORAL FACIAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CARTER (CHIEF MEDICAL OFFICER)
(615) 329-4401
Entity
Organization
Contact information
Practice address
322 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
Mailing address
322 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000014
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3630981
—
TN
Enumeration date
03/13/2012
Last updated
03/13/2012
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