Organization · Type 2 NPI
Plateau Oral and Facial Surgery
Oral and Maxillofacial Surgery (Dentist) · Cookeville, TN
NPI number
1396121000
Active
Practice location
920 S Willow Ave
Cookeville, TN 38501-4150
Fax (931) 525-6099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 9568 (TN) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Cookeville
About NPI 1396121000
Plateau Oral and Facial Surgery's National Provider Identifier is 1396121000, issued on Aug 4, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cookeville, TN. The record was last updated on Aug 4, 2015.