# JASON S COLLIER DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043745169
- **Authorized official:** JASON COLLIER DDS (OWNER)
- **Authorized official phone:** (901) 756-0078

## Contact information

- **Practice address:** 850 WILLOW TREE CIR, CORDOVA, TN 38018-6376
- **Practice address phone:** (901) 756-0078
- **Mailing address:** 850 WILLOW TREE CIR, CORDOVA, TN 38018-6376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS0000008695 | TN | Yes |

## Other

- **Enumeration date:** 04/26/2017
- **Last updated:** 04/26/2017