Organization
RESTORATION DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS GREGORY NORVELL DDS, MDS, CDT (OWNER)
(615) 804-3960
Entity
Organization
Contact information
Practice address
1984 PROVIDENCE PKWY STE 200, MT JULIET, TN 37122-4459
(615) 257-7723
Mailing address
1984 PROVIDENCE PKWY STE 200, MT JULIET, TN 37122-4459
(615) 257-7723
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
12/09/2019
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