Plateau Oral Surgery, PC
NPI #1730407560 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1730407560
- Entity Type
- Organization
- Organization Name
- Plateau Oral Surgery, PC
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- May 4, 2010
- Last Updated
- Jun 20, 2018
Practice Location
- Address
- 920 S WILLOW AVE
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38501-4150
- Phone
- (931) 525-6059
Authorized Official
- Name
- MRS. NANCY J KELLY
- Title
- INSURANCE COORDINATOR
- Phone
- (931) 525-6059
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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