Provider Demographics
NPI:1790995348
Name:NASH, WILLILAM M (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLILAM
Middle Name:M
Last Name:NASH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 SAM DAVIS RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-2736
Mailing Address - Country:US
Mailing Address - Phone:615-459-6974
Mailing Address - Fax:615-459-8806
Practice Address - Street 1:1450 SAM DAVIS RD
Practice Address - Street 2:SUITE 120
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-2736
Practice Address - Country:US
Practice Address - Phone:615-459-6974
Practice Address - Fax:615-459-8806
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN21691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice