Organization · Type 2 NPI

University of Tennessee

Oral and Maxillofacial Surgery Clinic/Center · Memphis, TN

NPI number 1053385963 Active

Practice location

875 Union Ave, Room C209
Memphis, TN 38103-0001

Fax (901) 448-2853

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Pediatric Dentistry 1223P0221XNone listed
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XNone listed

Oral and Maxillofacial Surgery Clinic/Center: 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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About NPI 1053385963

University of Tennessee's National Provider Identifier is 1053385963, issued on Feb 15, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Memphis, TN. The record was last updated on Feb 13, 2020.