Organization
STONECREST ORAL AND MAXILLOFACIAL SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STONE CREST ORAL MAXILLOFA (ORAL & MAXILLOFACIAL SURGEON)
(615) 223-1200
Entity
Organization
Contact information
Practice address
STE 385, 300 STONECREST BLVD, SMYRNA, TN 37167-6819
(615) 223-1200
(615) 223-1090
Mailing address
STE 385, 300 STONECREST BLVD, SMYRNA, TN 37167-6819
(615) 223-1200
(615) 223-1090
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
12/05/2007
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