Healthcare Provider Details

I. General information

NPI: 1083796841
Provider Name (Legal Business Name): MICHAEL SAWAF DMD,CAGS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 W MCEWEN DR STE 60
FRANKLIN TN
37067-1770
US

IV. Provider business mailing address

1550 W MCEWEN DR STE 60
FRANKLIN TN
37067-1770
US

V. Phone/Fax

Practice location:
  • Phone: 156-778-1800
  • Fax: 615-778-1880
Mailing address:
  • Phone: 615-778-1800
  • Fax: 615-778-1880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number8480
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberD-0006722-C
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberTN8480
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: