Individual
JOHN ROBERT WERTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
300 20TH AVE N, SUITE 606, NASHVILLE, TN 37203-2131
(615) 284-5650
(615) 284-5653
Mailing address
300 20TH AVE N, SUITE 606, NASHVILLE, TN 37203-2131
(615) 284-5650
(615) 284-5653
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5424
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
21127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477635324
GROUP NPI
—
01
—
4002094
BLUE CROSS BLUE SHIELD
TN
Enumeration date
10/19/2006
Last updated
04/10/2025
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