West Tennessee Center for Oral and Facial Surgery

NPI #1518130210 in Jackson, Tennessee

Provider Information

NPI Number
1518130210
Entity Type
Organization
Organization Name
West Tennessee Center for Oral and Facial Surgery
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Apr 2, 2008
Last Updated
Jun 15, 2009

Practice Location

Address
544 ROLAND AVE
Address 2
SUITE 100
ZIP Code
38301-4379
Phone
(731) 426-1834

Authorized Official

Name
DR. KEITH HARRISON TAYLOR, D.D.S., M.P.H.
Title
ORAL AND MAXILLOFACIAL SURGEON
Phone
(731) 426-1834

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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Provider Name
University of Tennessee

Part of University of Tennessee

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