# MAX S. BREAZEAL, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Max Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346021177
- **Authorized official:** LISA G HENLEY (OFFICE MANAGER)
- **Authorized official phone:** (901) 861-0031

## Contact information

- **Practice address:** 61 PEYTON PKWY STE 103, COLLIERVILLE, TN 38017-9724
- **Practice address phone:** (901) 861-0031
- **Practice address fax:** (901) 861-4031
- **Mailing address:** 61 PEYTON PKWY STE 103, COLLIERVILLE, TN 38017-9724
- **Mailing address phone:** (901) 861-0031
- **Mailing address fax:** (901) 861-4031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2023
- **Last updated:** 10/09/2023