Middle Tennessee Oral Surgery Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8035 Issued in TN

Legal business name

MIDDLE TENNESSEE ORAL SURGERY CENTER

Practice address

1801 Church St
Nashville, TN 37203-2201

Phone

(615) 327-2626

Fax

(615) 327-2607

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Miss Noma Gwebu, B.S

Title

Office Manager

Phone

(615) 327-2626

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dolphus Carl Jackson, D.D.S., P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Spring Hill, TN
  • NPI 1467511642

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1659546455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2162",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370242162",
            "telephone_number": "615-327-2626",
            "fax_number": "615-327-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CHURCH ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032201",
            "telephone_number": "615-327-2626",
            "fax_number": "615-327-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE ORAL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "GWEBU",
        "authorized_official_first_name": "NOMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-327-2626",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "8035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9176594",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSURANT",
            "identifier": "0015802",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1605591",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "281433",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3731118",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4154703",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Middle Tennessee Imaging, LLC
• Middle Tennessee Imaging, LLC
• Middle Tennessee Internal Medicine Associates, PLLC
• Middle Tennessee Neurosurgical Services
• Middle Tennessee Oral Sleep Therapy LLC
• Middle Tennessee Psychiatric Clinic
• Middle Tennessee Resource Center
• Middle Tennessee Treatment Centers, LLC
• Richard Middlebrooks, DPT
• Sarah Middlekauff, RN

• Oral and Maxillofacial Surgery (Dentist) in Nashville, TN
• Providers in Nashville, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.