Provider Demographics
NPI:1093831760
Name:HIGHLAND, NANCY ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANNE
Last Name:HIGHLAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8544 WASHINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-6429
Mailing Address - Country:US
Mailing Address - Phone:901-754-5301
Mailing Address - Fax:901-756-0564
Practice Address - Street 1:9621 DAVIES PLANTATION RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:TN
Practice Address - Zip Code:38002
Practice Address - Country:US
Practice Address - Phone:901-383-2345
Practice Address - Fax:901-404-3162
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS8432122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist