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Organization
ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P. C.
Active
Organization
ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE E TIPPS (ADMINISTRATOR)
(423) 893-3333
Entity
Organization
Contact information
Practice address
6015 SHALLOWFORD ROAD, CHATTANOOGA, TN 37421-1688
(423) 893-3333
(423) 893-6747
Mailing address
6015 SHALLOWFORD ROAD, CHATTANOOGA, TN 37421-1688
(423) 893-3333
(423) 893-6747
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
10/24/2006
Last updated
07/21/2022
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