National Provider Identifier Database

WEST TENNESSEE CENTER FOR ORAL AND FACIAL SURGERY
Oral and Maxillofacial Surgery

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.


Contact Information

WEST TENNESSEE CENTER FOR ORAL AND FACIAL SURGERY
544 ROLAND AVE
SUITE 100
JACKSON, TN38301-4379
Phone: 731-426-1834
Fax: 731-426-1836
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for WEST TENNESSEE CENTER FOR ORAL AND FACIAL SURGERY

NPI Number 1518130210
Legal business name
LBN
WEST TENNESSEE CENTER FOR ORAL AND FACIAL SURGERY
Authorized official KEITH TAYLOR - (ORAL AND MAXILLOFACIAL SURGEON)
Entity Organization
Organization subpart No
Enumeration date 04/02/2008
Last updated 06/15/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: D 7760
  • TN Other: 1891795605 INDIVIDUAL NPI NUMBER
  • TN Other: 3731273 MEDICARE GROUP PRICING #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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