Organization
SOUTHERN ORAL AND FACIAL SURGERY
Active
Organization
SOUTHERN ORAL AND FACIAL SURGERY
Active
Other names
Clark Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD DANIEL CLARK DDS, MD (MANAGING PARTNER)
(615) 591-0919
Entity
Organization
Contact information
Practice address
3000 STANSBERRY LANE, SUITE 101, FRANKLIN, TN 37069
(615) 591-0919
(615) 599-6762
Mailing address
3000 STANSBERRY LANE, SUITE 101, FRANKLIN, TN 37069
(615) 591-0919
(615) 599-6762
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8111
TN
Other
Enumeration date
09/20/2006
Last updated
11/18/2016
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