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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MID-STATE ORAL SURGERY OF LEBANON

Active Organization

MID-STATE ORAL SURGERY OF LEBANON is a Oral and Maxillofacial Surgery Clinic organization located in LEBANON, Tennessee. NPI 1578202008 is currently active in the NPPES registry. Verify at CMS.

Oral and Maxillofacial Surgery Clinic · LEBANON, TN

Registration Details

NPI Number
1578202008
Provider Type
Organization
NPI Issued
Jun 2, 2022 (4.0179641218708 yrs)
Last Updated
Jun 2, 2022

Practice Information

Address
102 HARTMANN DR STE H
LEBANON, TN, 370871502
Browse TN providers · Browse ZIP 37087
Phone
6154411441
Primary Specialty
Oral and Maxillofacial Surgery Clinic
261QS0112X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.