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Organization

TN OMS SPECIALTY DENTAL SERVICES, PLLC

Active
Other names
Knoxville Oral & Maxillofacial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLOTTE DASCH (DIRECTOR OF PROVIDER RELATIONS)
(504) 638-0303
Entity
Organization

Contact information

Practice address
2939 ESSARY DR STE 1, KNOXVILLE, TN 37918-2464
(865) 240-2977
Mailing address
401 CHURCH ST STE 1400, NASHVILLE, TN 37219-2214
(504) 638-0303

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
08/09/2021
Last updated
10/27/2021
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