# GERMANTOWN-BARTLETT ORAL SURGERY GROUP, )P.C.

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

## Provider details

- **NPI number:** 1760531974
- **Authorized official:** MS. TERESA MCCALMAN (BUSINESS MANAGER)
- **Authorized official phone:** (901) 754-8002

## Contact information

- **Practice address:** 2136 EXETER RD, SUITE 202, GERMANTOWN, TN 38138-3922
- **Practice address phone:** (901) 754-8002
- **Practice address fax:** (901) 759-9113
- **Mailing address:** 2136 EXETER RD, SUITE 202, GERMANTOWN, TN 38138-3922
- **Mailing address phone:** (901) 754-8002
- **Mailing address fax:** (901) 759-9113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4274 AND 7089 | TN | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 12/17/2007