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

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1225263460

Provence and Haley, PC is an Oral and Maxillofacial Surgery (Dentist) in Nashville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4322 Harding Pike Ste 201
Nashville, TN 37205-2490
Phone: (615) 829-7000
Fax: (615) 829-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DS7219 (TN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DS4607 (TN)

Record details

NPI number1225263460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mina Harris — Office Manager · (615) 419-1943
Other names Tennessee Oral & Maxillofacial Surgeons
NPI enumeratedMay 18, 2009
Last updated in NPPESMay 18, 2009
Mailing address4322 Harding Pike, Suite 201, Nashville, TN 37205-2490

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