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Organization

DENTAL SPECIALTY EDUCATION, INC.

Active
Other names
Dental Specialty Education, Inc.- Pleasant View
Organization subpart
No

Provider details

NPI number
Authorized official
SABIN KANE EWING DDS (CLINICAL DENTAL DIRECTOR OF SCHOOL)
(615) 256-7543
Entity
Organization

Contact information

Practice address
6509 HIGHWAY 41A, SUITE A, PLEASANT VIEW, TN 37146-7170
(615) 247-7100
(615) 247-7052
Mailing address
6509 HIGHWAY 41A, SUITE A, PLEASANT VIEW, TN 37146-7170
(615) 247-7100
(615) 247-7052

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223P0221X
Pediatric Dentistry
Primary
1223S0112X
Oral and Maxillofacial Surgery (Dentist)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DDS 7907
DENTAL LICENSE
TN
05
Q012250
TN
Enumeration date
01/11/2016
Last updated
03/07/2017
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