# ORAL & MAXILLOFACIAL SURGICAL SPECIALISTS

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

## Provider details

- **NPI number:** 1356414189
- **Authorized official:** DR. BRETT JAFFREY DDS (ORAL SURGEON)
- **Authorized official phone:** (865) 482-1319

## Contact information

- **Practice address:** 420 LABORATORY RD, OAK RIDGE, TN 37830-6802
- **Practice address phone:** (865) 482-1319
- **Practice address fax:** (865) 481-3067
- **Mailing address:** 420 LABORATORY RD, OAK RIDGE, TN 37830-6802
- **Mailing address phone:** (865) 482-1319
- **Mailing address fax:** (865) 481-3067

## 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:** 11/17/2006
- **Last updated:** 08/22/2020