# MIDDLE TENNESSEE ORAL SURGERY CENTER

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

## Provider details

- **NPI number:** 1659546455
- **Authorized official:** MISS NOMA GWEBU B.S (OFFICE MANAGER)
- **Authorized official phone:** (615) 327-2626

## Contact information

- **Practice address:** 1801 CHURCH ST, NASHVILLE, TN 37203-2201
- **Practice address phone:** (615) 327-2626
- **Practice address fax:** (615) 327-2607
- **Mailing address:** PO BOX 2162, BRENTWOOD, TN 37024-2162
- **Mailing address phone:** (615) 327-2626
- **Mailing address fax:** (615) 327-2607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 8035 | TN | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008