Stonecrest Oral and Maxillofacial Surgery, Inc.

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

STONECREST ORAL AND MAXILLOFACIAL SURGERY, INC.

Practice address

Ste 385
300 Stonecrest Blvd
Smyrna, TN 37167-6819

Phone

(615) 223-1200

Fax

(615) 223-1090

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Stone Crest Oral Maxillofa

Title

Oral & Maxillofacial Surgeon

Phone

(615) 223-1200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jennifer L Gordon-Maloney, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Smyrna, TN
  • NPI 1598758260
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1770514911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STE 385",
            "address_2": "300 STONECREST BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676819",
            "telephone_number": "615-223-1200",
            "fax_number": "615-223-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STE 385",
            "address_2": "300 STONECREST BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676819",
            "telephone_number": "615-223-1200",
            "fax_number": "615-223-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONECREST ORAL AND MAXILLOFACIAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "MAXILLOFA",
        "authorized_official_first_name": "STONE CREST",
        "authorized_official_middle_name": "ORAL",
        "authorized_official_title_or_position": "ORAL & MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "615-223-1200"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Hope Stewart
• Tessa Snowden Stewart, APN
• Grant Stillman, PHARMD
• Sarah-Jo Stimpson, M.D.
• Stonecrest Family Dental PLLC
• Garrett Bryan Story, P.T.
• Ansley Stout, M.S. CCC-SLP
• Taylor Nicole Strauch
• Angelia J Street
• James Jeffrey Stubblefield, DPH

• Oral and Maxillofacial Surgery Clinic/Center in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.