# ORAL SURGERY ASSOCIATES OF WEST TENNESSEE

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

## Provider details

- **NPI number:** 1669643318
- **Authorized official:** DR. STEPHEN JASON SAMMONS D.D.S (DENTIST/OWNER)
- **Authorized official phone:** (731) 668-7412

## Contact information

- **Practice address:** 11 MEDICAL PARK CT, JACKSON, TN 38305-2157
- **Practice address phone:** (731) 668-7412
- **Practice address fax:** (731) 668-9950
- **Mailing address:** 11 MEDICAL PARK CT, JACKSON, TN 38305-2157
- **Mailing address phone:** (731) 668-7412
- **Mailing address fax:** (731) 668-9950

## 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:** 03/20/2008
- **Last updated:** 03/20/2008