# UNIVERSITY OF TENNESSEE

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

## Provider details

- **NPI number:** 1215012430
- **Authorized official:** MS. CARRIANN BINGHAM (BILLING MANAGER)
- **Authorized official phone:** (901) 448-2801

## Contact information

- **Practice address:** 875 UNION AVE, N-328 DUNN, MEMPHIS, TN 38103-3513
- **Practice address phone:** (901) 448-6236
- **Practice address fax:** (901) 448-5480
- **Mailing address:** 875 UNION AVENUE, N-328 DUNN, MEMPHIS, TN 38116-0001
- **Mailing address phone:** (901) 448-6236
- **Mailing address fax:** (901) 448-5480

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/28/2015