| Provence And Haley, Pc | |
|
4322 Harding Pike Suite 201 Nashville TN 37205-2490 | |
| (615) 829-7000 | |
| (615) 829-7001 |
| Full Name | Provence And Haley, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4322 Harding Pike, Nashville, Tennessee |
| Authorized Official Name and Position | Mina H Harris (OFFICE MANAGER) |
| Authorized Official Contact | 6154191943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provence And Haley, Pc 4322 Harding Pike Suite 201 Nashville TN 37205-2490 Ph: (615) 829-7000 | Provence And Haley, Pc 4322 Harding Pike Suite 201 Nashville TN 37205-2490 Ph: (615) 829-7000 |
| NPI Number | 1225263460 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 05/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225263460 | NPI | - | NPPES |
| 1275531972 | Other | NPI | |
| 7219 | Other | TN | DENTAL LICENSE |
| 1982601829 | Other | NPI | |
| 918666 | Other | UNITED CONCORDIA | |
| 2006315 | Other | TN | BCBST |
| 4607 | Other | TN | DENTAL LICENSE |
| 3141185 | Other | TN | BCBST |
| 667954 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS4607 (Tennessee) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS7219 (Tennessee) | Primary |
Meharry Medical College, School Of Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Db Todd Blvd, Meharry Medical College, School Of Dentistry 1007db Tod, Nashville, TN 37208 Phone: 615-327-6360 Fax: 615-327-6360 | |
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Access Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 Patterson St, Nashville, TN 37203 Phone: 615-678-8965 | |
L. Temp Sullivan Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 Hillsboro Pike Ste 107, Nashville, TN 37215 Phone: 615-469-0887 Fax: 615-469-0152 | |
Tn Dental Professionals Ii Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Gallatin Ave Ste 115, Nashville, TN 37206 Phone: 615-620-5990 | |
Next Generation Dentists, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 Murfreesboro Pike, Nashville, TN 37217 Phone: 615-366-7154 Fax: 615-399-9702 | |
Joseph A. Otterpohl, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5505 Edmondson Pike, Suite 201, Nashville, TN 37211 Phone: 615-331-0402 Fax: 615-832-5410 |