Organization Active NPI

Middle Tennessee Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Murfreesboro, TN
National Provider Identifier
1497843270
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS7248 Issued in TN
Legal business name
MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY
Practice address
1725 Medical Center Pkwy
Suite 100
Murfreesboro, TN 37129-2246
Phone
(615) 893-7736
Fax
(615) 898-1771
NPI assigned
Oct 10, 2006
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark F. Hardison, DDSNPI 1629067194
Title
Partner
Phone
(615) 893-7736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS7248 TN Primary

Addresses

Primary practice location

1725 Medical Center Pkwy
Suite 100
Murfreesboro, TN 37129-2246

Mailing address

1725 Medical Center Pkwy
Suite 100
Murfreesboro, TN 37129-2246
Phone (615) 893-7736

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1497843270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MEDICAL CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292246",
            "telephone_number": "615-893-7736",
            "fax_number": "615-898-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MEDICAL CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292246",
            "telephone_number": "615-893-7736",
            "fax_number": "615-898-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "615-893-7736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS7248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.