Stonecrest Oral and Maxillofacial Surgery, Inc.

NPI #1770514911 in Smyrna, Tennessee

Provider Information

NPI Number
1770514911
Entity Type
Organization
Organization Name
Stonecrest Oral and Maxillofacial Surgery, Inc.
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Jul 5, 2006
Last Updated
Dec 5, 2007

Practice Location

Address
STE 385
Address 2
300 STONECREST BLVD
City
Smyrna
ZIP Code
37167-6819
Phone
(615) 223-1200

Authorized Official

Name
STONE CREST ORAL MAXILLOFA
Title
ORAL & MAXILLOFACIAL SURGEON
Phone
(615) 223-1200

Specialties & Taxonomy Codes

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

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