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Organization
ORAL SURGERY ASSOCIATES OF WEST TENNESSEE
Active
Organization
ORAL SURGERY ASSOCIATES OF WEST TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JASON SAMMONS D.D.S (DENTIST/OWNER)
(731) 668-7412
Entity
Organization
Contact information
Practice address
11 MEDICAL PARK CT, JACKSON, TN 38305-2157
(731) 668-7412
(731) 668-9950
Mailing address
11 MEDICAL PARK CT, JACKSON, TN 38305-2157
(731) 668-7412
(731) 668-9950
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
NULL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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