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Contact Information

UNIVERSITY OF TENNESSEE
875 UNION AVE
ROOM C209
MEMPHIS, TN38103-0001
 Phone: 901-448-6267
 Fax: 901-448-2853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
 

Dentist

122300000X
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF TENNESSEE

NPI # 1053385963
LBN Legal business name UNIVERSITY OF TENNESSEE
Authorized official ANTHONY FERRARA - (SR VICE CHANCELLOR CHIEF FINANCIAL)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/15/2006
Last updated 02/13/2020 - About 6 years ago
Identifiers
TN Other 8784 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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