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Organization
EAST TN FACIAL SURGERY, INC
Active
Organization
EAST TN FACIAL SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R COOK III DMD, MD (ORAL & MAXILLOFACIAL SURGEON)
(423) 855-5550
Entity
Organization
Contact information
Practice address
625 MORRISON SPRINGS RD, CHATTANOOGA, TN 37415-3401
(423) 855-5550
(423) 899-9182
Mailing address
625 MORRISON SPRINGS RD, CHATTANOOGA, TN 37415-3401
(423) 855-5550
(423) 899-9182
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS0000004615
TN
Other
Enumeration date
01/26/2006
Last updated
08/22/2020
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