West Tennessee Center For Oral And Facial Surgery

NPI 1518130210 - Clinic/Center - 261QS0112X

NPI Details
NPI 1518130210
Enumeration Date 04/02/2008
Last Updated 06/15/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KEITH HARRISON KEITH
Position ORAL AND MAXILLOFACIAL SURGEON
Phone (731) 426-1834
Fax (731) 426-1836
Practice Location
544 ROLAND AVE
SUITE 100
JACKSON TN, 38301-4379, US
Phone (731) 426-1834
Fax (731) 426-1836
Business Location
544 ROLAND AVE
SUITE 100
JACKSON TN, 38301-4379, US
Phone (731) 426-1834
Fax (731) 426-1836
Toxanomy
Taxonomy Code 261QS0112X
License State Tennessee
License Number D 7760
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According to our database, West Tennessee Center For Oral And Facial Surgery NPI is 1518130210, taxonomy code is 261QS0112X and license number is D 7760, license state is located at Tennessee. West Tennessee Center For Oral And Facial Surgery physically located at 544 Roland Ave, Jackson TN, 38301-4379. NPI Number 1033115704 has the healthcare provider type.

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1518130210 NPI number is provided on an as is basis without warranty of any kind. 1518130210 is maintained by the National Plan & Provider Enumeration System. The contents of West Tennessee Center For Oral And Facial Surgery are for informational purposes only.