Organization
TN OMS SPECIALTY DENTAL SERVICES, PLLC
Active
Parent organization
TN OMS SPECIALTY DENTAL SERVICES, PLLC
Other names
Knoxville Oral & Maxillofacial Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
TN OMS SPECIALTY DENTAL SERVICES, PLLC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CRED AND PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
6207 HIGHLAND PLACE WAY STE 207, KNOXVILLE, TN 37919-4030
(865) 584-6207
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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