Provider Demographics
NPI:1508643727
Name:DDM NATIONS PLLC
Entity Type:Organization
Organization Name:DDM NATIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:D'AOUST
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-933-5800
Mailing Address - Street 1:4900 CENTENNIAL BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1111
Mailing Address - Country:US
Mailing Address - Phone:615-933-5800
Mailing Address - Fax:
Practice Address - Street 1:4900 CENTENNIAL BLVD STE 104
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-1111
Practice Address - Country:US
Practice Address - Phone:615-933-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental