Individual
DR. MAX S. BREAZEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
61 PEYTON PKWY, SUITE 103, COLLIERVILLE, TN 38017-9702
(901) 861-0031
(901) 861-4031
Mailing address
61 PEYTON PKWY, SUITE 103, COLLIERVILLE, TN 38017-9702
(901) 861-0031
(901) 861-4031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4147
TN
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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