Organization
MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F HARDISON DDS (PARTNER)
(615) 893-7736
Entity
Organization
Contact information
Practice address
308 E LINCOLN ST, TULLAHOMA, TN 37388-3750
(931) 455-3385
(931) 455-1865
Mailing address
308 E LINCOLN ST, TULLAHOMA, TN 37388-3750
(931) 455-3385
(931) 455-1865
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS7248
TN
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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