Individual
MIRISSA PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-3501
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11501
TN
122300000X
Dentist
DL14012
MA
1223P0221X
Pediatric Dentistry
11501
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11501
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q065791
—
TN
Enumeration date
07/08/2019
Last updated
12/23/2025
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