Healthcare Provider Details

I. General information

NPI: 1710575774
Provider Name (Legal Business Name): DIANA GREER SAYLOR BSDH, RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3829 CLEGHORN AVE
NASHVILLE TN
37215-2507
US

IV. Provider business mailing address

1548 ELLER DR
NASHVILLE TN
37221-3368
US

V. Phone/Fax

Practice location:
  • Phone: 615-352-4598
  • Fax:
Mailing address:
  • Phone: 615-473-6715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number3410
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: