Oral And Facial Surgical Specialists | |
1100 Poplar View Ln N Collierville TN 38017-9323 | |
(901) 854-4422 | |
Not Available |
Full Name | Oral And Facial Surgical Specialists |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1100 Poplar View Ln N, Collierville, Tennessee |
Authorized Official Name and Position | Darren R Williams (OWNER) |
Authorized Official Contact | 9018544422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oral And Facial Surgical Specialists 1100 Poplar View Ln N Collierville TN 38017-9323 Ph: (901) 854-4422 | Oral And Facial Surgical Specialists 1100 Poplar View Ln N Collierville TN 38017-9323 Ph: (901) 854-4422 |
NPI Number | 1720469075 |
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Provider Enumeration Date | 06/12/2015 |
Last Update Date | 06/12/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720469075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS5359 (Tennessee) | Primary |
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