MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY (NPI# 1497843270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497843270 |
| Entity Type | Organization |
| Organization Name | MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
1725 Medical Center Pkwy Suite 100 Murfreesboro TN 37129-2246 |
| Practice Telephone | 6158937736 |
| Practice Fax Number | 6158981771 |
| Mailing Telephone | 6158937736 |
| Mailing Fax Number | 6158981771 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-01-15 |
| Authorized Official Name | DR. MARK F. HARDISON (PARTNER) |
| Authorized Official Telephone | 6158937736 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS7248 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558528570 | Middle Tennessee Oral & Maxillofacial Surgery | Dentist | 308 E Lincoln St, Tullahoma, TN 37388-3750 | 2008-05-19 |
| 1700243102 | Middle Tennessee Oral & Maxillofacial Surgery | Dentist | 515 Stonecrest Pkwy, Suite 240, Smyrna, TN 37167-6826 | 2016-01-15 |
| Street Address |
1725 MEDICAL CENTER PKWY SUITE 100 |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639108293 | Elizabeth Ann Otter | Physician Assistant | 1725 Medical Center Pkwy, Suite 300, Murfreesboro, TN 37129-2247 | 2006-07-03 |
| 1881118313 | Rachel Hale | Nurse Practitioner | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2017-07-26 |
| 1578099123 | Emma Pierce | Nurse Practitioner | 1725 Medical Center Pkwy, Suite # 300, Murfreesboro, TN 37129-2247 | 2017-05-02 |
| 1821532078 | Klhee Bang | Nurse Practitioner | 1725 Medical Center Pkwy, Suite 220, Murfreesboro, TN 37129-2247 | 2016-12-07 |
| 1457708950 | Amanda Wells | Physical Therapist | 1725 Medical Center Pkwy, Suite 130, Murfreesboro, TN 37129-2247 | 2016-05-16 |
| 1982075297 | Joshua Courtney | Physician Assistant | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2015-10-13 |
| 1144611260 | Lindsay White | Nurse Practitioner | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2015-02-11 |
| 1508272105 | Wendy Rhim | Nurse Practitioner | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2014-07-03 |
| 1639421225 | Erin Danielle Thayer | Nurse Practitioner | 1725 Medical Center Pkwy, Suite 110, Murfreesboro, TN 37129-2247 | 2012-10-08 |
| 1902122096 | Christina Feser | Dermatology | 1725 Medical Center Pkwy, Suite 300, Murfreesboro, TN 37129-2247 | 2010-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871527648 | William Alexander Hollis | Dentist | 1120 Dow St, Murfreesboro, TN 37130-2486 | 2006-07-10 |
| 1710964127 | Paul Jeffrey Warden | Dentist | 1725 Medical Center Pkwy Ste 100, Murfreesboro, TN 37129-2248 | 2005-12-28 |
| 1336154996 | Murfreesboro Oral Surgery | Dentist | 1120 Dow St, Murfreesboro, TN 37130-2486 | 2006-07-30 |
| 1699709444 | David Welsh Spivey | Dentist | 1120 Dow St, Murfreesboro, TN 37130-2486 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199055 | Daniel Coke | Dentist | 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 | 2016-04-19 |
| 1467835140 | Amir Victor Francis | Dentist | 1100 Poplar View Ln N Ste 1, Collierville, TN 38017-9323 | 2015-06-30 |
| 1376939645 | Matthew Breit | Dentist | 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 | 2015-04-13 |
| 1720472855 | Charles Baker Felts Iv | Dentist | 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2193 | 2015-03-26 |
| 1073910725 | Nashville Oral Facial Surgery, Pllc | Dentist | 2400 Patterson St Ste 316, Nashville, TN 37203-6510 | 2014-11-24 |
| 1194122135 | Samuel Edward Molind | Dentist | 210 Memorial Dr, Bristol, TN 37620-1704 | 2014-11-19 |
| 1780094052 | Andrew Ferraro | Dentist | 2964 Miller Place Way, Knoxville, TN 37924-1673 | 2014-05-07 |
| 1144649393 | Thomas Bailey | Dentist | 3000 Stansberry Ln Ste 101, Franklin, TN 37069-5125 | 2014-04-15 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1427471382 | Oral & Maxillofacial Surgery Clinic Inc. | Dentist | 910 Madison Ave Ste 710, Memphis, TN 38103-3453 | 2014-01-29 |
| Find all providers with the same taxonomy | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
Please comment or provide details below to improve the information on MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.