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Contact Information

SAMUEL MCKENNA, MD, DDS
719 THOMPSON LN STE 30330
NASHVILLE, TN37204-4701
 Phone: 615-322-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for SAMUEL MCKENNA · (Male)

NPI Number 1376635706
Status Active
Credentials MD, DDS
Entity Individual
Enumeration date 09/30/2006
Last updated 12/23/2025 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 15993
  • TN License # 6909
  • TN Medicaid Q003502
Hospital affiliation(s)
  • VANDERBILT UNIVERSITY HOSPITAL - (Acute Care)
    1161 21ST AVENUE SOUTH
    NASHVILLE, TN 37232
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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