Organization
DR MAX S BREAZEAL DDS PLLC
Active
Other names
Dr Max S Breazeal DDS PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA HENLEY (OFFICE MANAGER)
(901) 377-3988
Entity
Organization
Contact information
Practice address
2855 SUMMER OAKS DR, BARTLETT, TN 38134-3812
(901) 377-3988
(901) 377-9977
Mailing address
2855 SUMMER OAKS DR, BARTLETT, TN 38134-3812
(901) 377-3988
(901) 377-9977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4147
TN
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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