Organization
WELLSPRING ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LUCAS DDS (OWNER)
(615) 771-3535
Entity
Organization
Contact information
Practice address
104 BERRYWOOD DR, COLUMBIA, TN 38401-6408
(866) 771-3535
Mailing address
360 COOL SPRINGS BLVD, SUITE 102, FRANKLIN, TN 37067-7215
(615) 771-3535
(615) 771-1998
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS7361
TN
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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