Organization
EWING ORTHODONTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABIN K EWING DDS (OWNER-ORTHODONTICS)
(615) 256-7543
Entity
Organization
Contact information
Practice address
739 PRESIDENT PL, SUITE 210, SMYRNA, TN 37167-6844
(615) 220-8585
(615) 220-8575
Mailing address
451 MURFREESBORO PIKE, NASHVILLE, TN 37210-2842
(615) 256-7543
(615) 256-8895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440034
—
TN
05
—
Q011964
—
TN
Enumeration date
03/10/2015
Last updated
03/07/2017
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