Phillip Wayne Head SR.
Endodontist
1324 Trotwood Ave
Columbia
, Tennessee 38401-4750
Phillip Wayne Head SR.
Endodontist
1324 Trotwood Ave
Columbia
, Tennessee 38401-4750
(931) 381-6797
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Phillip Wayne Head SR.
- 1324 Trotwood Ave
- Columbia, TN
- Zip : 38401-4750
- Fax : (931) 381-6797
- Phone : (931) 388-5627
Second Address
- Phillip Wayne Head SR.
- 1324 Trotwood Ave
- Columbia, TN
- Zip : 38401-4750
- Fax : (931) 381-6797
- Phone : (931) 388-5627
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | DS3913 | TN |
National Provider Identifier
| NPI | 1154312437 |
|---|---|
| Provider Name | Phillip Wayne Head SR. |
| First Address | Columbia, TN 38401-4750 |
| Second Address | Columbia, TN 38401-4750 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.