Individual
DR. WILLIAM STUART MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
324 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
Mailing address
324 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5850 C1
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10028
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
10028
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
53940
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022069
—
TN
Enumeration date
05/11/2010
Last updated
07/05/2016
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