Organization Name: | MEHARRY MEDICAL COLLEGE, SCHOOL OF DENTISTRY |
NPI Number: | 1003107673 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON L. CARTER (ASSOCIATE PROFESSOR) |
Mailing Address: | 1007 Db Todd Blvd Meharry Medical College, School Of Dentistry 1007db Tod Nashville |
State: | TN US |
Postal Code: | 37208 |
Phone Number: | 6153276360 |
Fax Number: | 6153276360 |
NPI Enumeration Date: | 04/29/2011 |
NPI Last Update Date: | 04/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 7823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |