Provider Demographics
NPI:1194385062
Name:TMJ AND AIRWAY ASSOCIATES OF NASHVILLE, PLLC
Entity Type:Organization
Organization Name:TMJ AND AIRWAY ASSOCIATES OF NASHVILLE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RHEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-269-4209
Mailing Address - Street 1:4219 HILLSBORO PIKE STE 107
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3309
Mailing Address - Country:US
Mailing Address - Phone:615-269-4209
Mailing Address - Fax:
Practice Address - Street 1:4219 HILLSBORO PIKE STE 107
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-3309
Practice Address - Country:US
Practice Address - Phone:615-269-4209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty