Individual
DR. IAN THOMAS MORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
934 OLDHAM DR STE 100, NOLENSVILLE, TN 37135-8472
(615) 819-2571
Mailing address
304A VIVELLE AVE, NASHVILLE, TN 37210-4618
(585) 259-6306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10471
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
03/18/2025
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