Southeast Oral Surgery PC

NPI #1154596286 in Seymour, Tennessee

Provider Information

NPI Number
1154596286
Entity Type
Organization
Organization Name
Southeast Oral Surgery PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Apr 29, 2008
Last Updated
Apr 15, 2009

Practice Location

Address
11548 CHAPMAN HWY
ZIP Code
37865
Phone
(865) 577-7800

Authorized Official

Name
MICHELLE L TRACY
Title
OFFICE MANAGER
Phone
(865) 977-7110

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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