Individual
SAMUEL MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6909
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
15993
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q003502
—
TN
Enumeration date
09/30/2006
Last updated
12/23/2025
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