Organization
MAX S. BREAZEAL, D.D.S.
Active
Other names
The Max Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA G HENLEY (OFFICE MANAGER)
(901) 861-0031
Entity
Organization
Contact information
Practice address
61 PEYTON PKWY STE 103, COLLIERVILLE, TN 38017-9724
(901) 861-0031
(901) 861-4031
Mailing address
61 PEYTON PKWY STE 103, COLLIERVILLE, TN 38017-9724
(901) 861-0031
(901) 861-4031
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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