Jennifer L Gordon-Maloney in Smyrna - Oral And Maxillofacial Surgery

Jennifer L Gordon-Maloney - NPI 1598758260

Jennifer L Gordon-Maloney is a Oral And Maxillofacial Surgery in Smyrna, Tennessee. Jennifer L Gordon-Maloney practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jennifer L Gordon-Maloney is 1598758260. The last update date is 2007-07-09.

Jennifer L Gordon-Maloney's current location address is 300 Stonecrest Boulevard, Smyrna, Tennessee. You can contact this provider via phone number 6152231200 and fax number 6152231090. The mailing address for Jennifer L Gordon-Maloney is 300 Stonecrest Boulevard, Smyrna, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer L Gordon-Maloney
Address 300 Stonecrest Boulevard, Smyrna, Tennessee
Phone Number 6152231200
Fax Number 6152231090
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1598758260
Provider Enumeration Date 2005-08-26
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 300 Stonecrest Boulevard
City Smyrna
State Tennessee (TN)
Post Code 371671200
Phone Number 6152231200
Fax Number 6152231090

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DS0000007428
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
232437 TN UNITED HEALTHCARE ID#
4095527 TN BC/BS MEDICAL/DENTAL ID#
15738 TN DORAL DENTAL OF TN ID#
272484 TN CIGNA DMO DENTAL ID #
3728862 TN --

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FAQs about Jennifer L Gordon-Maloney

What is the unique 10-digit identifier code issued to Jennifer L Gordon-Maloney by the Centers for Medicare & Medicaid Services?

The Jennifer L Gordon-Maloney has been assigned the NPI (National Provider Identifier) 1598758260 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jennifer L Gordon-Maloney is located?

The Jennifer L Gordon-Maloney is situated at the following address: 300 Stonecrest Boulevard, Smyrna, TN, 371671200.

What is Jennifer L Gordon-Maloney's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jennifer L Gordon-Maloney is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.

On what date did the Jennifer L Gordon-Maloney receive the assignment of its 1598758260 from the Centers for Medicare & Medicaid Services?

The Jennifer L Gordon-Maloney was issued its 1598758260 by the Centers for Medicare & Medicaid Services on 2005-08-26.

When was the information related to Jennifer L Gordon-Maloney most recently updated or refreshed?

The details pertaining to the Jennifer L Gordon-Maloney, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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