Individual
DR. MATT J. GORHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
124 30TH AVE N, NASHVILLE, TN 37203-1308
(615) 327-4914
(615) 327-3892
Mailing address
124 30TH AVE N, NASHVILLE, TN 37203-1308
(615) 327-4914
(615) 327-3892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4826
TN
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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