| Southeast Oral Surgery Pc | |
|
11548 Chapman Hwy Seymour TN 37865 | |
| (865) 577-7800 | |
| Not Available |
| Full Name | Southeast Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 11548 Chapman Hwy, Seymour, Tennessee |
| Authorized Official Name and Position | Michelle L Tracy (OFFICE MANAGER) |
| Authorized Official Contact | 8659777110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Oral Surgery Pc 11548 Chapman Hwy Seymour TN 37865 Ph: (865) 577-7800 | Southeast Oral Surgery Pc 11548 Chapman Hwy Seymour TN 37865 Ph: (865) 577-7800 |
| NPI Number | 1154596286 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154596286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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