Mid-State Oral Surgery of Lebanon

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

MID-STATE ORAL SURGERY OF LEBANON

Practice address

102 Hartmann Dr Ste H
Lebanon, TN 37087-1502

Phone

(615) 441-1441

NPI assigned

Jun 2, 2022

Last updated

Jun 2, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather Hightower

Title

Director of Revenue

Phone

(615) 441-1441

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1578202008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552166",
            "telephone_number": "615-441-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HARTMANN DR STE H",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871502",
            "telephone_number": "615-441-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-STATE ORAL SURGERY OF LEBANON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "615-441-1441"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Elaine Metzger, P.A.
• Petrina L. Meyer, O.D.
• Mary Reese Micinski, SLP
• Mid-South Ambulance Service
• Mid-South Cardiology
• Middle Tennessee and Adolescent Medicine P.C.
• Middle Tennessee Anesthesia Providers, PLLC
• Middle Tennessee Behavioral Health
• Middle Tennessee Counseling Services, Inc
• Middle Tennessee Occupational Medicine

• Oral and Maxillofacial Surgery Clinic/Center in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.