# ANDERSON ORAL AND MAXILLOFACIAL SURGERY P.C.

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

## Provider details

- **NPI number:** 1316197619
- **Authorized official:** DR. JAMES GREG ANDERSON DDS (OWNER)
- **Authorized official phone:** (865) 209-3651

## Contact information

- **Practice address:** 175 FRANK PRICE BLVD, CLINTON, TN 37716-1420
- **Practice address phone:** (865) 622-4959
- **Practice address fax:** (865) 269-4336
- **Mailing address:** 175 FRANK PRICE BLVD, CLINTON, TN 37716-1420
- **Mailing address phone:** (865) 622-4959
- **Mailing address fax:** (865) 269-4336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS0000005390 | TN | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 10/17/2024