institution
Provence And Haley, Pc
Oral and Maxillofacial Surgery (Dentist) in Dickson, Tennessee
NPI 1033344288

Provence And Haley, Pc is a Oral and Maxillofacial Surgery (Dentist) based in Nashville, TN and is specialized in Oral and Maxillofacial Surgery. Provence And Haley, Pc practices in Dickson, TN. The NPI Number for Provence And Haley, Pc is 1033344288 and holds a License No. DS4607 (Tennessee).

The current practice location address for Provence And Haley, Pc is 502 E College St, Dickson, TN and can be reached out via phone at 615-446-9669 and via fax at 615-446-9661. You can also correspond with Provence And Haley, Pc through the mailing address at 4322 HARDING PIKE, NASHVILLE, TN - 37205-2490 (mailing address contact number: 615-829-7000).

Location: 502 E College St, Dickson, TN, 37205-2490
institution
Provider Profile Details
NPI Number
1033344288
Provider Name
Provence And Haley, Pc
Credential
Provider Entity Type
Organization
Address
502 E College St, Dickson, TN, 37205-2490
Phone Number
615-446-9669
Fax Number
615-446-9661
Provider Enumeration Date
05/18/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4607 01 TN DENTAL LICENSE
2006315 01 TN BCBST
7219 01 TN DENTAL LICENSE
1275531972 01 NPI
1982601829 01 NPI
3141185 01 TN BCBST
667954 01 UNITED CONCORDIA
918666 01 TN UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
502 E College St
City
State
Zip
37055-2016
Phone Number
615-446-9669
Fax Number
615-446-9661
person
Provider Business Mailing Address Details
Address
502 E College St
City
State
Zip
37055-2016
Phone Number
615-446-9669
Fax Number
615-446-9661
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
DS4607 (Tennessee)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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