| Dental Specialty Group | |
|
390 Harding Pl Suite 101 Nashville TN 37211-3998 | |
| (615) 832-6460 | |
| (615) 832-6461 |
| Full Name | Dental Specialty Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 390 Harding Pl, Nashville, Tennessee |
| Authorized Official Name and Position | Tania Nkungula-howlett (OWNER/DENTIST) |
| Authorized Official Contact | 6158326460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialty Group 390 Harding Pl Suite 101 Nashville TN 37211-3998 Ph: (615) 832-6460 | Dental Specialty Group 390 Harding Pl Suite 101 Nashville TN 37211-3998 Ph: (615) 832-6460 |
| NPI Number | 1114199734 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114199734 | NPI | - | NPPES |
| 3226456 | Medicaid | TN | |
| 3209516 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | DS7570 (Tennessee) | Primary |
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