Organization
MATT GORHAM JR., D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT J. GORHAM III D.D.S. (PRESIDENT)
(615) 327-4914
Entity
Organization
Contact information
Practice address
124 30TH AVE N, NASHVILLE, TN 37203-1308
(615) 327-4914
(615) 327-3892
Mailing address
124 30TH AVE N, NASHVILLE, TN 37203-1308
(615) 327-4914
(615) 327-3892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4826
TN
Other
Enumeration date
01/09/2006
Last updated
08/22/2020
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