Organization
MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F HARDISON DDS (OWNER)
(615) 893-7736
Entity
Organization
Contact information
Practice address
515 STONECREST PKWY, SUITE 240, SMYRNA, TN 37167-6826
(615) 462-7987
(615) 625-3405
Mailing address
515 STONECREST PKWY, SUITE 240, SMYRNA, TN 37167-6826
(615) 462-7987
(615) 625-3405
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7248
TN
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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