National Provider Identifier Database

MID STATE ORAL SURGERY OF LEBANON
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

MID-STATE ORAL SURGERY OF LEBANON
102 HARTMANN DR STE H
LEBANON, TN37087-1502
Phone: 615-441-1441
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for MID-STATE ORAL SURGERY OF LEBANON

NPI Number 1578202008
Legal business name
LBN
MID-STATE ORAL SURGERY OF LEBANON
Authorized official HEATHER HIGHTOWER - (DIRECTOR OF REVENUE)
Entity Organization
Organization subpart No
Enumeration date 06/02/2022
Last updated 06/02/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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