Oral Surgery Associates of West Tennessee

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

ORAL SURGERY ASSOCIATES OF WEST TENNESSEE

Practice address

11 Medical Park CT
Jackson, TN 38305-2157

Phone

(731) 668-7412

Fax

(731) 668-9950

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Jason Sammons, D.D.S

Title

Dentist/Owner

Phone

(731) 668-7412

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel K Rickman, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Jackson, TN
  • NPI 1053300111
  NPD (past)
• S. Jason Sammons, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Jackson, TN
  • NPI 1295724235
  NPD (past)

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1669643318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK CT",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052157",
            "telephone_number": "731-668-7412",
            "fax_number": "731-668-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK CT",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052157",
            "telephone_number": "731-668-7412",
            "fax_number": "731-668-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOCIATES OF WEST TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "SAMMONS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "731-668-7412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Pathology Dentistry in Jackson, TN
• Providers in Jackson, TN by specialty
• Oral and Maxillofacial Pathology Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.