SOUTHERN ORAL AND FACIAL SURGERY (NPI# 1679671986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679671986 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ORAL AND FACIAL SURGERY |
| Other Organization Name | CLARK ORAL AND FACIAL SURGERY |
| Practice Address |
3000 Stansberry Lane Suite 101 Franklin TN 37069 |
| Practice Telephone | 6155910919 |
| Practice Fax Number | 6155996762 |
| Mailing Telephone | 6155910919 |
| Mailing Fax Number | 6155996762 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-11-18 |
| Authorized Official Name | DR. HOWARD DANIEL CLARK (MANAGING PARTNER) |
| Authorized Official Telephone | 6155910919 |
| Authorized Official Credential | DDS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8111 | TN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Clark Oral and Facial Surgery | Former Legal Business Name - Organization |
| Street Address |
3000 STANSBERRY LANE SUITE 101 |
| City | FRANKLIN |
| State | TN |
| Zip Code | 37069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437609294 | Vicki Cecil Wolczyk | Speech-Language Pathologist | 6000 Williamsburg Drive, Nashville, TN 37069 | 2016-10-05 |
| 1922482231 | Katherine Gentzkow | Occupational Therapist | 2117 Hillsboro Road, Franklin, TN 37069 | 2015-07-16 |
| 1033543251 | Saddle Up | Occupational Therapist | 1549 Old Hillsboro Rd, Franklin, TN 37069 | 2013-08-23 |
| 1063782035 | John Moten Omohundro IIi | Ophthalmology | 1519 Old Hills Boro Rd, Franklin, TN 37069 | 2012-01-09 |
| 1780863431 | Lauren Douglass Watson | Physical Therapist | 2754 Broyles Ln, Franklin, TN 37069 | 2007-10-30 |
| 1861549347 | Sarah Elizabeth Baker | Occupational Therapist | 211 Coolesprings Blv, Franklin, TN 37069 | 2007-01-05 |
| 1982775557 | Ramin A. Behmand, Md, Inc | Plastic Surgery | 1508 Kimberleigh Court, Franklin, TN 37069 | 2006-11-13 |
| 1841252715 | Amy Overton Chapman | Physical Therapist | 2339 Hillsboro Road, 101, Franklin, TN 37069 | 2006-04-05 |
| 1932198694 | H. Daniel Clark | Dentist | 3000 Stansberry Ln, Suite 101, Franklin, TN 37069 | 2005-10-17 |
| 1912363136 | Anna Ruth Davidson | Speech-Language Pathologist | 2117 Hillsboro Rd, Franklin, TN 37069 | 2016-01-04 |
| Find all providers in zip 37069 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144649393 | Thomas Bailey | Dentist | 3000 Stansberry Ln Ste 101, Franklin, TN 37069-5125 | 2014-04-15 |
| 1083790968 | Cathleen Patricia Coyne | Dentist | 122 Cool Springs Blvd, Franklin, TN 37067-7240 | 2006-10-31 |
| 1710955471 | Oral and Maxillofacial Surgery Affilates | Dentist | 1909 Mallory Ln, Suite 100, Franklin, TN 37067-2830 | 2006-03-09 |
| 1932198694 | H. Daniel Clark | Dentist | 3000 Stansberry Ln, Suite 101, Franklin, TN 37069 | 2005-10-17 |
| 1477796100 | James Bradford Lewallen | Dentist | 3000 Stansberry Ln, Suite 101, Franklin, TN 37069-5125 | 2009-04-10 |
| 1831362656 | Sean Young | Dentist | 3000 Stansberry Ln, Suite 101, Franklin, TN 37069-5125 | 2008-04-13 |
| 1558551515 | Coyne Oral Surgery | Dentist | 122 Cool Springs Blvd, Franklin, TN 37067-7240 | 2007-07-26 |
| 1104043579 | Robert P. Moskal Dmd PC | Dentist | 835 W Central St, Second Floor, Franklin, MA 02038-3188 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199055 | Daniel Coke | Dentist | 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 | 2016-04-19 |
| 1467835140 | Amir Victor Francis | Dentist | 1100 Poplar View Ln N Ste 1, Collierville, TN 38017-9323 | 2015-06-30 |
| 1376939645 | Matthew Breit | Dentist | 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 | 2015-04-13 |
| 1720472855 | Charles Baker Felts Iv | Dentist | 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2193 | 2015-03-26 |
| 1073910725 | Nashville Oral Facial Surgery, Pllc | Dentist | 2400 Patterson St Ste 316, Nashville, TN 37203-6510 | 2014-11-24 |
| 1194122135 | Samuel Edward Molind | Dentist | 210 Memorial Dr, Bristol, TN 37620-1704 | 2014-11-19 |
| 1780094052 | Andrew Ferraro | Dentist | 2964 Miller Place Way, Knoxville, TN 37924-1673 | 2014-05-07 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1427471382 | Oral & Maxillofacial Surgery Clinic Inc. | Dentist | 910 Madison Ave Ste 710, Memphis, TN 38103-3453 | 2014-01-29 |
| 1386081628 | Andrew Everett Wicke | Dentist | 131 Indian Lake Blvd Ste 100, Hendersonville, TN 37075-6207 | 2013-05-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.