# HARRY R. MACK, JR., D.D.S., M.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nashville Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679729016
- **Authorized official:** MRS. TRACY FLOWERS (OFFICE MANAGER)
- **Authorized official phone:** (615) 873-4495

## Contact information

- **Practice address:** 5802 NOLENSVILLE PIKE, SUITE 103, NASHVILLE, TN 37211-6520
- **Practice address phone:** (615) 832-5599
- **Practice address fax:** (615) 834-4579
- **Mailing address:** 5802 NOLENSVILLE PIKE, SUITE 103, NASHVILLE, TN 37211-6520
- **Mailing address phone:** (615) 873-4495
- **Mailing address fax:** (615) 873-4436

## 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:** 08/18/2008
- **Last updated:** 06/10/2015