Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid-State Oral Surgery of Lebanon

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1578202008

Mid-State Oral Surgery of Lebanon is an Oral and Maxillofacial Surgery Clinic/Center in Lebanon, Tennessee. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

102 Hartmann Dr Ste H
Lebanon, TN 37087-1502
Phone: (615) 441-1441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1578202008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Hightower — Director Of Revenue · (615) 441-1441
NPI enumeratedJune 2, 2022
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022
Mailing address445 Henslee Dr, Dickson, TN 37055-2166