Oral Surgical Institute, P.c.
NPI #1760885578 in Springfield, Tennessee
Provider Information
- NPI Number
- 1760885578
- Entity Type
- Organization
- Organization Name
- Oral Surgical Institute, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ORAL SURGICAL INSTITUTE, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 7, 2014
- Last Updated
- Oct 7, 2014
Practice Location
- Address
- 314 NORTHCREST DR STE 134
- City
- Springfield
- State
- Tennessee
- ZIP Code
- 37172-3963
- Phone
- (615) 384-1104
Authorized Official
- Name
- KIM WILSON
- Title
- CRED SUPERVISOR
- Phone
- (217) 540-5170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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