Organization
JASON S COLLIER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON COLLIER DDS (OWNER)
(901) 756-0078
Entity
Organization
Contact information
Practice address
850 WILLOW TREE CIR, CORDOVA, TN 38018-6376
(901) 756-0078
Mailing address
850 WILLOW TREE CIR, CORDOVA, TN 38018-6376
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS0000008695
TN
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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