# DR MAX S BREAZEAL DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Max S Breazeal DDS PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851878292
- **Authorized official:** MS. LISA HENLEY (OFFICE MANAGER)
- **Authorized official phone:** (901) 377-3988

## Contact information

- **Practice address:** 2855 SUMMER OAKS DR, BARTLETT, TN 38134-3812
- **Practice address phone:** (901) 377-3988
- **Practice address fax:** (901) 377-9977
- **Mailing address:** 2855 SUMMER OAKS DR, BARTLETT, TN 38134-3812
- **Mailing address phone:** (901) 377-3988
- **Mailing address fax:** (901) 377-9977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4147 | TN | Yes |

## Other

- **Enumeration date:** 07/27/2018
- **Last updated:** 07/27/2018