# OASIS WELLNESS DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093559452
- **Authorized official:** DR. KRISTINA SHUBA-AMOS DDS (GENERAL DENTIST)
- **Authorized official phone:** (865) 765-2000

## Contact information

- **Practice address:** 4011 LEBANON PIKE, HERMITAGE, TN 37076-2013
- **Practice address phone:** (865) 765-2000
- **Mailing address:** 4020 MAGNOLIA FARMS DR, HERMITAGE, TN 37076-1645
- **Mailing address phone:** (865) 765-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2024
- **Last updated:** 06/20/2024