Organization
MIDDLE TENNESSEE ORAL SLEEP THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DEVINE D.D.S. (OWNER)
61526942909
Entity
Organization
Contact information
Practice address
4205 HILLSBORO PIKE, SUITE 105, NASHVILLE, TN 37215-3336
(615) 269-4209
(615) 383-1998
Mailing address
4219 HILLSBORO PIKE, SUITE 102, NASHVILLE, TN 37215-3328
(615) 269-4209
(615) 383-1998
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
DS5009
TN
Other
Enumeration date
06/16/2012
Last updated
08/08/2013
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