Organization
ORAL SURGERY ASSOCIATES OF WEST TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JASON SAMMONS D.D.S (DENTIST/OWNER)
(731) 668-7412
Entity
Organization
Contact information
Practice address
11 MEDICAL PARK CT, JACKSON, TN 38305-2157
(731) 668-7412
(731) 668-9950
Mailing address
11 MEDICAL PARK CT, JACKSON, TN 38305-2157
(731) 668-7412
(731) 668-9950
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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