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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