Organization · Type 2 NPI

Plateau Oral Surgery, PC

Oral and Maxillofacial Surgery Clinic/Center · Cookeville, TN

NPI number 1730407560 Active

Practice location

920 S Willow Ave
Cookeville, TN 38501-4150

Fax (931) 525-6079

Mailing address

920 South Willow Avenue
Cookeville, TN 38501-4150

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XD57545 (TN)

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 1730407560

Plateau Oral Surgery, PC's National Provider Identifier is 1730407560, issued on May 4, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Cookeville, TN. The record was last updated on Jun 20, 2018.