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MID-CUMBERLAND ENDODONTICS NPI 1679955165


NPI Information

NPI: 1679955165
Provider Name: MID-CUMBERLAND ENDODONTICS
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
1324 TROTWOOD AVE
SUITE #2
COLUMBIA, TN
ZIP 38401
Phone: (931) 388-5627
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MID-CUMBERLAND ENDODONTICS is an endodontics dentist in Columbia, TN. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. MID-CUMBERLAND ENDODONTICS NPI is 1679955165. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1324 TROTWOOD AVE
SUITE #2
COLUMBIA, TN
ZIP 38401-750
Phone: (931) 388-5627
Fax: (931) 381-6797

The provider's authorized official is Phillip Wayne Head .
The authorized official title is Dentist and has the following contact phone number (931) 388-5627.

The enumeration date for this NPI number is 6/22/2015 and was last updated on 6/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics3913-170TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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