Organization · Type 2 NPI

Tullahoma Oral Surgery, P.c.

Oral and Maxillofacial Surgery (Dentist) · Tullahoma, TN

NPI number 1467738203 Active

Practice location

2120 N Jackson St
Tullahoma, TN 37388-2208

Fax (931) 454-9694

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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.

2 other providers at this address

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About NPI 1467738203

Tullahoma Oral Surgery, P.c.'s National Provider Identifier is 1467738203, issued on Oct 25, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tullahoma, TN. The record was last updated on Oct 25, 2011.