Timothy D Provence in Nashville - Oral And Maxillofacial Surgery
Timothy D Provence - NPI 1982601829
Timothy D Provence is a Oral And Maxillofacial Surgery in Nashville, Tennessee. Timothy D Provence practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Timothy D Provence is 1982601829. The last update date is 2007-07-08.
Timothy D Provence's current location address is 207 23rd Ave N, Nashville, Tennessee. You can contact this provider via phone number 6153201392 and fax number 6153294245. The mailing address for Timothy D Provence is 207 23rd Ave N, Nashville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy D Provence |
|---|---|
| Address | 207 23rd Ave N, Nashville, Tennessee |
| Phone Number | 6153201392 |
| Fax Number | 6153294245 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982601829 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 207 23rd Ave N |
|---|---|
| City | Nashville |
| State | Tennessee (TN) |
| Post Code | 372031501 |
| Phone Number | 6153201392 |
| Fax Number | 6153294245 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3225637 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Timothy D Provence by the Centers for Medicare & Medicaid Services?
The Timothy D Provence has been assigned the NPI (National Provider Identifier) 1982601829 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Timothy D Provence located?
The Timothy D Provence is located at 207 23Rd Ave N, Nashville, TN 372031501.
What is the area of specialization for Timothy D Provence, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy D Provence is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982601829 to Timothy D Provence?
The Timothy D Provence received its 1982601829 assignment from the Centers for Medicare & Medicaid Services on 2005-07-07.
When was the information pertaining to Timothy D Provence most recently updated or revised?
The details related to Timothy D Provence, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.