MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY NPI 1497843270

NPI Information

MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in Murfreesboro, 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. MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY NPI is 1497843270. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1725 MEDICAL CENTER PKWY
SUITE 100
MURFREESBORO, TN
ZIP 37129-246
Phone: (615) 893-7736
Fax: (615) 898-1771

The provider's authorized official is Mark F. Hardison .
The authorized official title is Partner and has the following contact phone number (615) 893-7736.

The CLIA number assigned to this NPI record is 44D0955766 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 1/15/2016.

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:

Other Identifiers

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