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West Tennessee Center For Oral And Facial Surgery
Oral and Maxillofacial Surgery Clinic/Center in Jackson, Tennessee
NPI 1518130210

West Tennessee Center For Oral And Facial Surgery is a Oral and Maxillofacial Surgery Clinic/Center based in Jackson, TN and is specialized in Oral and Maxillofacial Surgery. West Tennessee Center For Oral And Facial Surgery practices in Jackson, TN. The NPI Number for West Tennessee Center For Oral And Facial Surgery is 1518130210 and holds a License No. D 7760 (Tennessee).

The current practice location address for West Tennessee Center For Oral And Facial Surgery is 544 Roland Ave, Jackson, TN and can be reached out via phone at 731-426-1834 and via fax at 731-426-1836.

Location: 544 Roland Ave, Jackson, TN, 38301-4379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518130210
Provider Name
West Tennessee Center For Oral And Facial Surgery
Credential
Provider Entity Type
Organization
Address
544 Roland Ave, Jackson, TN, 38301-4379
Phone Number
731-426-1834
Fax Number
731-426-1836
Provider Enumeration Date
04/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891795605 01 TN INDIVIDUAL NPI NUMBER
3731273 01 TN MEDICARE GROUP PRICING #
institution
Provider Business Practice Location Address Details
Address
544 Roland Ave
City
Jackson
State
Tennessee
Zip
38301-4379
Phone Number
731-426-1834
Fax Number
731-426-1836
person
Provider Business Mailing Address Details
Address
544 Roland Ave
City
Jackson
State
Tennessee
Zip
38301-4379
Phone Number
731-426-1834
Fax Number
731-426-1836
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
D 7760 (Tennessee)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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