Organization
CENTER FOR ORAL & FACIAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJI A OGUNDIYA D.D.S. (ORAL SURGEON)
(615) 327-2494
Entity
Organization
Contact information
Practice address
1801 CHURCH ST, NASHVILLE, TN 37203-2201
(615) 327-2494
Mailing address
PO BOX 23131, NASHVILLE, TN 37202-3131
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS5165
TN
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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