Healthcare Provider Details

I. General information

NPI: 1255629028
Provider Name (Legal Business Name): DENTAL SPECIALISTS OF NASHVILLE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2011
Last Update Date: 07/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 MURFREESBORO PIKE
NASHVILLE TN
37210-2842
US

IV. Provider business mailing address

447 MURFREESBORO PIKE
NASHVILLE TN
37210-2842
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-4739
  • Fax: 615-327-4740
Mailing address:
  • Phone: 615-327-4739
  • Fax: 615-327-4740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL SAWAF
Title or Position: OWNER
Credential: DMD
Phone: 615-327-4739