Tennessee Oral & Maxillofacial Surgeons

LBN: Provence And Haley, Pc
Tennessee Oral & Maxillofacial Surgeons is an health care organization with primary practice located at 502 E College St , Dickson TN 37055-2016. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Provence And Haley, Pc can be contacted via phone (615) 446-9669, or through Harris, Mina H via phone (615) 419-1943.

Contact Information

Primary practice address
502 E College St Dickson TN 37055-2016
Phone: (615) 446-9669
Fax: (615) 446-9661
Website:
Map and Directions
Authorized official contact:
Name: Harris, Mina H
Phone: (615) 419-1943

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS4607 Tennessee
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS7219 Tennessee

Profile Details

NPI number 1033344288
LBN Legal business name Provence And Haley, Pc
DBA Doing business as Tennessee Oral & Maxillofacial Surgeons
Authorized official Harris, Mina H
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2009
Last updated May 18th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033344288 NPPES
Tennessee Other 4607 DENTAL LICENSE
Tennessee Other 2006315 DENTAL LICENSE
Tennessee Other 7219 DENTAL LICENSE
Tennessee Other 1275531972 DENTAL LICENSE
Tennessee Other 1982601829 DENTAL LICENSE
Tennessee Other 3141185 DENTAL LICENSE
Tennessee Other 667954 DENTAL LICENSE
Tennessee Other 918666 DENTAL LICENSE

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