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WEST TENNESSEE CENTER FOR ORAL AND FACIAL SURGERY

Surgery Yellow Pages

Jackson, Tennessee

Provider NPI: 1518130210

Organization Information:
Organization Name:  WEST TENNESSEE CENTER FOR ORAL AND FACIAL SURGERY


Practice Location:
544 ROLAND AVE SUITE 100 JACKSON, TN 38301 US
Tel: 731-426-1834  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QS0112XAmbulatory Health Care Facilities
Clinic/Center
Oral and Maxillofacial Surgery
TND 7760

Other Provider Identifiers:

IssuerNumberStateType
INDIVIDUAL NPI NUMBER1891795605TN01
MEDICARE GROUP PRICING #3731273TN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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