Organization
NASHVILLE ORAL FACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN D LUCAS DDS (PRESIDENT)
(615) 327-3534
Entity
Organization
Contact information
Practice address
2400 PATTERSON ST STE 316, NASHVILLE, TN 37203-6510
(615) 327-3534
Mailing address
7004 MOORES LN, BRENTWOOD, TN 37027-2905
(615) 377-7777
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS7361
TN
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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