Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | DS8611 | TN |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS8611 | TN |
NPI | 1013054113 |
---|---|
Provider Name | Steven Gary Press |
First Address | Nashville, TN 37207-2519 |
Second Address | Nashville, TN 37207-2519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 11/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
FP0098714 | DEA (01) | TN |
U49245 | (02) | TN |