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Plateau Oral Surgery, Pc
Oral and Maxillofacial Surgery Clinic/Center in Cookeville, Tennessee
NPI 1730407560

Plateau Oral Surgery, Pc is a Oral and Maxillofacial Surgery Clinic/Center based in Cookeville, TN and is specialized in Oral and Maxillofacial Surgery. Plateau Oral Surgery, Pc practices in Cookeville, TN. The NPI Number for Plateau Oral Surgery, Pc is 1730407560 and holds a License No. D57545 (Tennessee).

The current practice location address for Plateau Oral Surgery, Pc is 920 S Willow Ave, Cookeville, TN and can be reached out via phone at 931-525-6059 and via fax at 931-525-6079.

Location: 920 S Willow Ave, Cookeville, TN, 38501-4150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730407560
Provider Name
Plateau Oral Surgery, Pc
Credential
Provider Entity Type
Organization
Address
920 S Willow Ave, Cookeville, TN, 38501-4150
Phone Number
931-525-6059
Fax Number
931-525-6079
Provider Enumeration Date
05/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3226373 05 TN
institution
Provider Business Practice Location Address Details
Address
920 S Willow Ave
City
Cookeville
State
Tennessee
Zip
38501-4150
Phone Number
931-525-6059
Fax Number
931-525-6079
person
Provider Business Mailing Address Details
Address
920 S Willow Ave
City
Cookeville
State
Tennessee
Zip
38501-4150
Phone Number
931-525-6059
Fax Number
931-525-6079
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
D57545 (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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