| Paul Nawiesniak Dds | |
|
401 W Main St Suite 101 Lebanon TN 37087-3584 | |
| (240) 357-6129 | |
| Not Available |
| Full Name | Paul Nawiesniak Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 401 W Main St, Lebanon, Tennessee |
| Authorized Official Name and Position | Paul J Nawiesniak (OWNER) |
| Authorized Official Contact | 3016942640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Nawiesniak Dds 401 W Main St Suite 101 Lebanon TN 37087-3584 Ph: (240) 357-6129 | Paul Nawiesniak Dds 401 W Main St Suite 101 Lebanon TN 37087-3584 Ph: (240) 357-6129 |
| NPI Number | 1225440159 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225440159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9800 (Tennessee) | Primary |
| 261QD0000X | Clinic/center - Dental | 117087 (Maryland) | Secondary |
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