Max S. Breazeal, D.d.s. | |
61 Peyton Pkwy Ste 103 Collierville TN 38017-9724 | |
(901) 861-0031 | |
(901) 861-4031 |
Full Name | Max S. Breazeal, D.d.s. |
---|---|
Speciality | Clinic/center - Dental |
Location | 61 Peyton Pkwy Ste 103, Collierville, Tennessee |
Authorized Official Name and Position | Lisa G Henley (OFFICE MANAGER) |
Authorized Official Contact | 9018610031 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Max S. Breazeal, D.d.s. 61 Peyton Pkwy Ste 103 Collierville TN 38017-9724 Ph: (901) 861-0031 | Max S. Breazeal, D.d.s. 61 Peyton Pkwy Ste 103 Collierville TN 38017-9724 Ph: (901) 861-0031 |
NPI Number | 1346021177 |
---|---|
Provider Enumeration Date | 10/09/2023 |
Last Update Date | 10/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346021177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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