West Tennessee Center For Oral And Facial Surgery in Jackson - Oral And Maxillofacial Surgery
West Tennessee Center For Oral And Facial Surgery - NPI 1518130210
West Tennessee Center For Oral And Facial Surgery is a Oral And Maxillofacial Surgery in Jackson, Tennessee. West Tennessee Center For Oral And Facial Surgery practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for West Tennessee Center For Oral And Facial Surgery is 1518130210. The last update date is 2009-06-15.
West Tennessee Center For Oral And Facial Surgery's current location address is 544 Roland Ave, Jackson, Tennessee. You can contact this provider via phone number 7314261834 and fax number 7314261836. The mailing address for West Tennessee Center For Oral And Facial Surgery is 544 Roland Ave, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Tennessee Center For Oral And Facial Surgery |
|---|---|
| Address | 544 Roland Ave, Jackson, Tennessee |
| Phone Number | 7314261834 |
| Fax Number | 7314261836 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORAL AND M |
|---|---|
| Authorized Official Name | Taylor Harrison Keith |
| Credentials | D.D.S., M. |
| Telephone Number | 7314261834 |
NPI Number Detail
| NPI Number | 1518130210 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2009-06-15 |
Provider Mailing Address Detail
| Address | 544 Roland Ave |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383014379 |
| Phone Number | 7314261834 |
| Fax Number | 7314261836 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 261Qs0112X |
| Licence No | D 7760 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1891795605 | TN | INDIVIDUAL NPI NUMBER | |
| 3731273 | TN | MEDICARE GROUP PRICING # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to West Tennessee Center For Oral And Facial Surgery by the Centers for Medicare & Medicaid Services?
The West Tennessee Center For Oral And Facial Surgery has been assigned the NPI (National Provider Identifier) 1518130210 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the West Tennessee Center For Oral And Facial Surgery's physical address?
The West Tennessee Center For Oral And Facial Surgery is physically located at 544 Roland Ave, in the city of Jackson, TN, with the postal code 383014379.
What is the area of specialization for West Tennessee Center For Oral And Facial Surgery, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for West Tennessee Center For Oral And Facial Surgery is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 261Qs0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518130210 to West Tennessee Center For Oral And Facial Surgery?
The Centers for Medicare & Medicaid Services originally issued the 1518130210 to West Tennessee Center For Oral And Facial Surgery on 2008-04-02.
When was the West Tennessee Center For Oral And Facial Surgery's information last updated?
The West Tennessee Center For Oral And Facial Surgery's information was last updated on 2009-06-15.