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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 Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

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

NPI # 1518130210
LBN Legal business name WEST TENNESSEE CENTER FOR ORAL AND FACIAL SURGERY
Authorized official KEITH TAYLOR - (ORAL AND MAXILLOFACIAL SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2008
Last updated 06/15/2009 - About 17 years ago
Identifiers
TN License # D 7760
TN Other 1891795605 INDIVIDUAL NPI NUMBER
TN Other 3731273 MEDICARE GROUP PRICING #
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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