Organization
ORAL SURGICAL INSTITUTE, P.C.
Active
Other names
Oral Surgical Institute- Nashville
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA NEWELL (ADMINISTRATOR)
(615) 340-8510
Entity
Organization
Contact information
Practice address
500 28TH AVE N STE 100, NASHVILLE, TN 37209-4298
(615) 329-4401
(615) 321-6175
Mailing address
500 28TH AVE N STE 100, NASHVILLE, TN 37209-4298
(615) 329-4401
(615) 321-6175
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3707384
—
TN
Enumeration date
03/08/2006
Last updated
04/28/2023
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