University of Tennessee

NPI #1053385963 in Memphis, Tennessee

Provider Information

NPI Number
1053385963
Entity Type
Organization
Organization Name
University of Tennessee
Subpart
Yes (part of a larger organization)
Parent Organization
UNIVERSITY OF TENNESSEE
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Feb 15, 2006
Last Updated
Feb 13, 2020

Practice Location

Address
875 UNION AVE
Address 2
ROOM C209
ZIP Code
38103-0001
Phone
(901) 448-6267

Authorized Official

Name
MR. ANTHONY A FERRARA
Title
SR VICE CHANCELLOR CHIEF FINANCIAL
Phone
(901) 448-5523

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - Pediatric DentistryPediatric Dentistry
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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