MCRAE-WILSON ORAL AND MAXILLOFACIAL SURGERY GROUP NPI 1619162187

NPI Information

MCRAE-WILSON ORAL AND MAXILLOFACIAL SURGERY GROUP is an oral and maxillofacial surgery dentist in Memphis, TN. The provider is an oral and maxillofacial surgery dentist specialized in 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. MCRAE-WILSON ORAL AND MAXILLOFACIAL SURGERY GROUP NPI is 1619162187. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5565 MURRAY RD
MEMPHIS, TN
ZIP 38119-879
Phone: (901) 767-0088
Fax: (901) 767-2538

The provider's authorized official is Joseph Lawrence Mcrae .
The authorized official title is Owner and has the following contact phone number (901) 767-0088.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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