Organization
ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE E TIPPS (ADMINISTRATOR)
(423) 893-3333
Entity
Organization
Contact information
Practice address
6015 SHALLOWFORD ROAD, CHATTANOOGA, TN 37421-1688
(423) 893-3333
(423) 893-6747
Mailing address
6015 SHALLOWFORD ROAD, CHATTANOOGA, TN 37421-1688
(423) 893-3333
(423) 893-6747
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3715680
—
TN
Enumeration date
10/24/2006
Last updated
07/21/2022
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