| NPI | 1699133009 |
|---|---|
| Doing Business As | UNIVERSITY ORAL & MAXILLOFACIAL SURGEONS |
| Entity Type | Organization |
| Authorized Contact | BETH A MAYNARD Vice President 865-305-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2021-08-24 |