Provider Demographics
NPI:1053887406
Name:OAKLEY DENTAL PARTNERS PC
Entity type:Organization
Organization Name:OAKLEY DENTAL PARTNERS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-883-7800
Mailing Address - Street 1:PO BOX 291946
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37229-1946
Mailing Address - Country:US
Mailing Address - Phone:615-883-7800
Mailing Address - Fax:615-883-7840
Practice Address - Street 1:8090 HIGHWAY 100
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-4212
Practice Address - Country:US
Practice Address - Phone:615-646-3549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty