# UNIVERSITY OF TENNESSEE

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

## Provider details

- **NPI number:** 1487723094
- **Authorized official:** ANTHONY A FERRARA (SR VICE CHANCELLOR CHIEF FINANCIAL)
- **Authorized official phone:** (901) 448-5523

## Contact information

- **Practice address:** 875 UNION AVE, ROOM C309, MEMPHIS, TN 38163-0001
- **Practice address phone:** (901) 448-5876
- **Practice address fax:** (901) 448-6835
- **Mailing address:** 875 UNION AVE, ROOM C309, MEMPHIS, TN 38163-0001
- **Mailing address phone:** (901) 448-5876
- **Mailing address fax:** (901) 448-6835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 12/18/2020
