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Organization

EAST TN FACIAL SURGERY, INC

Active
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Organization

EAST TN FACIAL SURGERY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS R COOK III DMD, MD (ORAL & MAXILLOFACIAL SURGEON)
(423) 855-5550
Entity
Organization

Contact information

Practice address
625 MORRISON SPRINGS RD, CHATTANOOGA, TN 37415-3401
(423) 855-5550
(423) 899-9182
Mailing address
625 MORRISON SPRINGS RD, CHATTANOOGA, TN 37415-3401
(423) 855-5550
(423) 899-9182

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS0000004615
TN

Other

Enumeration date
01/26/2006
Last updated
08/22/2020
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