Provider Demographics
NPI:1598931545
Name:J MICHAEL LAW DDS PC
Entity Type:Organization
Organization Name:J MICHAEL LAW DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL LAW
Authorized Official - Last Name:LAW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-865-5750
Mailing Address - Street 1:231A W OLD HICKORY BLVD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115
Mailing Address - Country:US
Mailing Address - Phone:615-865-5750
Mailing Address - Fax:615-865-5750
Practice Address - Street 1:231A W OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-3664
Practice Address - Country:US
Practice Address - Phone:615-865-5750
Practice Address - Fax:615-868-8638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty