Individual
MICHAEL W. BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-7120
Mailing address
156 BERTRAND DR, FRANKLIN, TN 37064-8308
(504) 228-1430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000009985
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1857025
—
LA
Enumeration date
04/19/2007
Last updated
10/26/2018
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