Provider Demographics
NPI:1073815486
Name:MEHR, KAMRAN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAMRAN
Middle Name:K
Last Name:MEHR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 MURFREESBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3311
Mailing Address - Country:US
Mailing Address - Phone:615-530-0610
Mailing Address - Fax:615-544-1379
Practice Address - Street 1:2150 MURFREESBORO PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3311
Practice Address - Country:US
Practice Address - Phone:615-530-0610
Practice Address - Fax:615-544-1379
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9228122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist