West Tennessee Center for Oral and Facial Surgery
West Tennessee Center for Oral and Facial Surgery provides Oral and Maxillofacial Surgery Clinic/Center services in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.
- Licensed in
- TN
- In the registry since
- 2008
Practice location Address checks out
544 Roland Ave Ste 100Jackson, TN 38301-4379 Not confirmed with CMS for 17 years — call before visiting
Phone: (731) 426-1834
Fax: (731) 426-1836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X · Licence D 7760 (TN) |
|---|
Record details
| NPI number | 1518130210 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith Taylor — Oral And Maxillofacial Surgeon · (731) 426-1834 |
| NPI enumerated | April 2, 2008 |
| Last updated in NPPES | June 15, 2009 |
| Mailing address | 544 Roland Ave, Suite 100, Jackson, TN 38301-4379 |