Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Middle Tennessee Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1558528570

Middle Tennessee Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Tullahoma, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.

Licensed in
TN
In the registry since
2008

Practice location Address checks out

308 E Lincoln St
Tullahoma, TN 37388-3750
Phone: (931) 455-3385
Fax: (931) 455-1865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DS7248 (TN)

Record details

NPI number1558528570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Hardison — Partner · (615) 893-7736
NPI enumeratedMay 19, 2008
Last updated in NPPESMay 19, 2008
Mailing address308 E Lincoln St, Tullahoma, TN 37388-3750

Other providers in Tullahoma