Samuel Mckenna
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
719 Thompson Ln Ste 30330
Nashville
, Tennessee 37204-4701
Samuel Mckenna
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
719 Thompson Ln Ste 30330
Nashville
, Tennessee 37204-4701
(615) 322-3000
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Samuel Mckenna
- 3601 The Vanderbilt Clinic
- Nashville, TN
- Zip : 37232-5100
- Phone : (615) 322-3000
Second Address
- Samuel Mckenna
- 719 Thompson Ln Ste 30330
- Nashville, TN
- Zip : 37204-4701
- Phone : (615) 322-3000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 6909 | TN |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 15993 | TN |
National Provider Identifier
| NPI | 1376635706 |
|---|---|
| Provider Name | Samuel Mckenna |
| First Address | Nashville, TN 37232-5100 |
| Second Address | Nashville, TN 37204-4701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2006 |
| Last Update Date | 15/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A97897 | (02) |
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.