Provider Demographics
NPI:1891959243
Name:WORKMAN, JOHN M (DDS ENDODONTICS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:DDS ENDODONTICS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4027 HILLSBORO PIKE
Mailing Address - Street 2:STE 805
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215
Mailing Address - Country:US
Mailing Address - Phone:615-383-4455
Mailing Address - Fax:615-383-4032
Practice Address - Street 1:4027 HILLSBORO PIKE
Practice Address - Street 2:STE 805
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215
Practice Address - Country:US
Practice Address - Phone:615-383-4455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8893122300000X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist