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Organization
ORAL SURGICAL INSTITUTE, P.C.
Active
Organization
ORAL SURGICAL INSTITUTE, P.C.
Active
Parent organization
ORAL SURGICAL INSTITUTE, P.C.
Other names
Oral Surgery Institute - Nashville
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORAL SURGICAL INSTITUTE, P.C.
Authorized official
KIM WILSON (CRED SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
324 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
Mailing address
324 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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