# MCKENZIE ORAL AND FACIAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1922568666
- **Authorized official:** WILLIAM STUART MCKENZIE MD, DMD (OWNER)
- **Authorized official phone:** (615) 441-1441

## Contact information

- **Practice address:** 445 HENSLEE DR, DICKSON, TN 37055-2166
- **Practice address phone:** (615) 441-1441
- **Practice address fax:** (615) 441-1460
- **Mailing address:** 445 HENSLEE DR, DICKSON, TN 37055-2166
- **Mailing address phone:** (615) 441-1441
- **Mailing address fax:** (615) 441-1460

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2019
- **Last updated:** 08/26/2021