Organization
WEST NASHVILLE DENTAL PLLC
Active
Other names
West Nashville Dental PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERSON ORR MD (OWNER)
(615) 506-6109
Entity
Organization
Contact information
Practice address
129 BELLE FOREST CIR, NASHVILLE, TN 37221-2103
(615) 506-6109
Mailing address
122 BLACKBURN AVE, NASHVILLE, TN 37205-3721
(615) 506-6109
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205322724
—
TN
Enumeration date
01/18/2022
Last updated
01/18/2022
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