# MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1700243102
- **Authorized official:** DR. MARK F HARDISON DDS (OWNER)
- **Authorized official phone:** (615) 893-7736

## Contact information

- **Practice address:** 515 STONECREST PKWY, SUITE 240, SMYRNA, TN 37167-6826
- **Practice address phone:** (615) 462-7987
- **Practice address fax:** (615) 625-3405
- **Mailing address:** 515 STONECREST PKWY, SUITE 240, SMYRNA, TN 37167-6826
- **Mailing address phone:** (615) 462-7987
- **Mailing address fax:** (615) 625-3405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7248 | TN | Yes |

## Other

- **Enumeration date:** 01/15/2016
- **Last updated:** 01/15/2016