Provider Demographics
NPI:1013280676
Name:TEMLOCK, ALEC JACOB (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEC
Middle Name:JACOB
Last Name:TEMLOCK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 ELDER PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-1732
Mailing Address - Country:US
Mailing Address - Phone:617-895-8766
Mailing Address - Fax:
Practice Address - Street 1:2000 21ST AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4362
Practice Address - Country:US
Practice Address - Phone:615-385-3334
Practice Address - Fax:615-385-3335
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA587991223P0300X
TN124681223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics