| Max S. Breazeal, D.d.s. | |
|
61 Peyton Pkwy Ste 103 Collierville TN 38017-9724 | |
| (901) 861-0031 | |
| (901) 861-4031 |
| Full Name | Max S. Breazeal, D.d.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 61 Peyton Pkwy Ste 103, Collierville, Tennessee |
| Authorized Official Name and Position | Lisa G Henley (OFFICE MANAGER) |
| Authorized Official Contact | 9018610031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Max S. Breazeal, D.d.s. 61 Peyton Pkwy Ste 103 Collierville TN 38017-9724 Ph: (901) 861-0031 | Max S. Breazeal, D.d.s. 61 Peyton Pkwy Ste 103 Collierville TN 38017-9724 Ph: (901) 861-0031 |
| NPI Number | 1346021177 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346021177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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