MCRAE-WILSON ORAL AND MAXILLOFACIAL SURGERY GROUP (NPI# 1619162187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619162187 |
| Entity Type | Organization |
| Organization Name | MCRAE-WILSON ORAL AND MAXILLOFACIAL SURGERY GROUP |
| Practice Address |
5565 Murray Rd Memphis TN 38119-3879 |
| Practice Telephone | 9017670088 |
| Practice Fax Number | 9017672538 |
| Mailing Telephone | 9017670088 |
| Mailing Fax Number | 9017672538 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |
| Authorized Official Name | DR. JOSEPH LAWRENCE MCRAE (OWNER) |
| Authorized Official Telephone | 9017670088 |
| 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 |
3587 | TN | Dental Providers |
| Street Address |
5565 MURRAY RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447231253 | Joseph Lawrence Mcrae | Dentist | 5565 Murray Rd, Memphis, TN 38119-3879 | 2005-11-09 |
| 1083807739 | Julian G Fleming,m.d.,p.c. | Internal Medicine | 5565 Murray Rd, Second Floor, Memphis, TN 38119-3879 | 2007-08-24 |
| 1518092758 | Julius Fred Case | Dentist | 5565 Murray Rd, Memphis, TN 38119 | 2007-02-21 |
| 1467522474 | Edward Sidney Lane II | Dentist | 5565 Murray Rd, Memphis, TN 38119-3879 | 2006-11-08 |
| 1487635041 | Gary Trent Wilson | Dentist | 5565 Murray Rd, Memphis, TN 38119-3879 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 |
|---|---|---|---|---|
| 1376939645 | Matthew Breit | Dentist | 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 | 2015-04-13 |
| 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 |
| 1225132590 | Harris E Williams | Dentist | 6621 Kirby Center Cv, Memphis, TN 38115-4313 | 2006-09-08 |
| 1225143720 | John Shrader Cannon | Dentist | 1661 Aaron Brenner Dr Ste 105, Memphis, TN 38120-1467 | 2006-08-21 |
| 1356305569 | James M. Christian | Dentist | 875 Union Avenue, The University of Tennessee, Memphis, TN 38133-3513 | 2006-04-14 |
| 1447231253 | Joseph Lawrence Mcrae | Dentist | 5565 Murray Rd, Memphis, TN 38119-3879 | 2005-11-09 |
| 1891785655 | Richard D Meekins Jr. | Dentist | 1251 Wesley Dr, 101, Memphis, TN 38116-6442 | 2005-10-24 |
| 1013905165 | Isaac Fordjour | Dentist | 910 Madison Ave, Suite 710, Memphis, TN 38103-3403 | 2005-10-12 |
| 1366430647 | Lawrence W Weeda Jr. | Dentist | 875 Union Ave, Room N-328, Memphis, TN 38163-0001 | 2005-10-11 |
| Find all providers in MEMPHIS | ||||
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| 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.