Organization
COLUMBIA ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN D LUCAS DDS (ORTHODONTIST)
(931) 490-3488
Entity
Organization
Contact information
Practice address
1324 TROTWOOD AVE STE 1, COLUMBIA, TN 38401-4750
(931) 490-3488
(931) 381-4910
Mailing address
1324 TROTWOOD AVE STE 1, COLUMBIA, TN 38401-4750
(931) 490-3488
(931) 381-4910
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS7361
TN
Other
Enumeration date
04/10/2009
Last updated
01/29/2014
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