Provider Demographics
NPI:1891238705
Name:SAVIC, ALLISON R (RDH, CSOM)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:R
Last Name:SAVIC
Suffix:
Gender:F
Credentials:RDH, CSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 4TH AVE S
Mailing Address - Street 2:SUITE 115
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-4160
Mailing Address - Country:US
Mailing Address - Phone:615-647-9009
Mailing Address - Fax:
Practice Address - Street 1:1201 4TH AVE S
Practice Address - Street 2:SUITE 115
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-4160
Practice Address - Country:US
Practice Address - Phone:615-647-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
TN7235124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No124Q00000XDental ProvidersDental HygienistGroup - Single Specialty