MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY (NPI# 1700243102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700243102 |
| Entity Type | Organization |
| Organization Name | MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
515 Stonecrest Pkwy Suite 240 Smyrna TN 37167-6826 |
| Practice Telephone | 6154627987 |
| Practice Fax Number | 6156253405 |
| Mailing Telephone | 6154627987 |
| Mailing Fax Number | 6156253405 |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |
| Authorized Official Name | DR. MARK F HARDISON (OWNER) |
| 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 |
7248 | 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 |
| 1497843270 | Middle Tennessee Oral & Maxillofacial Surgery | Dentist | 1725 Medical Center Pkwy, Suite 100, Murfreesboro, TN 37129-2246 | 2006-10-10 |
| Street Address |
515 STONECREST PKWY SUITE 240 |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053305664 | Lee David Mockrin | Pediatrics | 515 Stonecrest Pkwy, Suite 150, Smyrna, TN 37167-6826 | 2005-09-09 |
| 1225454788 | Erin Wolf Michelier | Physical Therapist | 515 Stonecrest Pkwy, Ste.120, Smyrna, TN 37167-6826 | 2014-03-07 |
| 1962824482 | Platinum Medical Group | Internal Medicine | 515 Stonecrest Pkwy, Suite 230, Smyrna, TN 37167-6826 | 2014-01-17 |
| 1598101792 | Kyle Todd | Physical Therapist | 515 Stonecrest Pkwy, Ste 120, Smyrna, TN 37167-6826 | 2013-05-14 |
| 1215282025 | Mitali Nanda | Pediatrics | 515 Stonecrest Pkwy, Suite 150, Smyrna, TN 37167-6826 | 2012-07-17 |
| 1568763761 | Emily Burn | Physical Therapist | 515 Stonecrest Pkwy, Suite 120, Smyrna, TN 37167-6826 | 2010-11-04 |
| 1639493380 | Tracy L. Carter | Nurse Practitioner | 515 Stonecrest Pkwy, Suite 150, Smyrna, TN 37167-6826 | 2010-03-24 |
| 1275864571 | Sleep Center of Hermitage, Pllc | Internal Medicine | 515 Stonecrest Pkwy, Suite 200, Smyrna, TN 37167-6826 | 2010-01-26 |
| 1194973651 | Kimberly B Morris | Physical Therapist | 515 Stonecrest Pkwy, Suite 120, Smyrna, TN 37167-6826 | 2008-09-08 |
| 1508051426 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 515 Stonecrest Pkwy, Smyrna, TN 37167-6826 | 2007-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| 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 |
|---|---|---|---|---|
| 1598758260 | Jennifer L Gordon-maloney | Dentist | 300 Stonecrest Boulevard, Suite 385, Smyrna, TN 37167-1200 | 2005-08-26 |
| 1780681098 | Joseph Serafin Doctora | Dentist | 366 S Lowry St, Smyrna, TN 37167-3415 | 2005-06-30 |
| 1275907891 | Dillon & Greene Dental Services LLC | Dentist | 2220 Atlanta Rd Se, Suite 104, Smyrna, GA 30080-1583 | 2015-11-19 |
| 1144473265 | Oms Specialists | Dentist | 366 S Lowry St, Smyrna, TN 37167-3415 | 2008-11-03 |
| 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 | ||||
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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.