Provider Demographics
NPI:1083796841
Name:SAWAF, MICHAEL (DMD,CAGS)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:SAWAF
Suffix:
Gender:M
Credentials:DMD,CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 W MCEWEN DR STE 60
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1770
Mailing Address - Country:US
Mailing Address - Phone:615-778-1800
Mailing Address - Fax:615-778-1880
Practice Address - Street 1:1550 W MCEWEN DR STE 60
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1770
Practice Address - Country:US
Practice Address - Phone:156-778-1800
Practice Address - Fax:615-778-1880
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN84801223X0400X
TNTN84801223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics