Organization
ORAL AND FACIAL SURGERY CENTER OF DICKSON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STUART MCKENZIE DMD, MD (OWNER)
(615) 441-9514
Entity
Organization
Contact information
Practice address
108 SUNSET RD, DICKSON, TN 37055-2163
(615) 441-1441
Mailing address
445 HENSLEE DR, DICKSON, TN 37055-2166
(423) 488-6703
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
08/28/2024
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