# HERMITAGE ORAL SURGERY

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

## Provider details

- **NPI number:** 1134843436
- **Authorized official:** DR. ABIGAIL YAZBAK DMD (DMD/OWNER)
- **Authorized official phone:** (615) 883-0067

## Contact information

- **Practice address:** 616 BRANDYWINE VILLAGE CT, OLD HICKORY, TN 37138-2122
- **Practice address phone:** (615) 883-0067
- **Practice address fax:** (615) 883-0365
- **Mailing address:** 616 BRANDYWINE VILLAGE CT, OLD HICKORY, TN 37138-2122
- **Mailing address phone:** (615) 883-0067
- **Mailing address fax:** (615) 883-0365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2022
- **Last updated:** 12/11/2025