McKenzie Oral and Facial Surgery PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MCKENZIE ORAL AND FACIAL SURGERY PLLC

Practice address

445 Henslee Dr
Dickson, TN 37055-2166

Phone

(615) 441-1441

Fax

(615) 441-1460

NPI assigned

Mar 20, 2019

Last updated

Aug 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Stuart McKenzie, MD, DMDNPI 1932427317

Title

Owner

Phone

(615) 441-1441

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: info@midstateoralsurgery.com

Practitioners 10

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.

• William Stuart McKenzie, D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Nashville, TN
  • NPI 1932427317
  Medicare reassignment Care Compare group Authorized official
• Taylor Tracy Duckworth, DDS

  • Dentist
  • Nashville, TN
  • NPI 1689168064
  Medicare reassignment Care Compare group NPD
• Jennifer Graham, NP

  • Family Nurse Practitioner
  • Dickson, TN
  • NPI 1841003571
  Medicare reassignment Care Compare group NPD
• Zachary James Nicholson, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Nashville, TN
  • NPI 1033671862

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Jaden Cook

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Boise, ID
  • NPI 1205410594

  Oral and Maxillofacial Surgery, TN

  Medicare reassignment Care Compare group NPD
• Kyle Diluzio, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Dickson, TN
  • NPI 1548622632
  Medicare reassignment Care Compare group
• Matthew McLaughlin, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Dickson, TN
  • NPI 1144614991
  Medicare reassignment Care Compare group
• Rafi Isaac

  • Oral and Maxillofacial Surgery (Dentist)
  • Dickson, TN
  • NPI 1114659844
  NPD
• Moo Hyun Kim, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Murfreesboro, TN
  • NPI 1508212770
  NPD (past)
• Joseph Olayinka Majekodunmi, DDS

  • Dentist
  • Nashville, TN
  • NPI 1194013862
  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1922568666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552166",
            "telephone_number": "615-441-1441",
            "fax_number": "615-441-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552166",
            "telephone_number": "615-441-1441",
            "fax_number": "615-441-1460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Dunbar Cave Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438852",
            "country_code": "US",
            "telephone_number": "615-441-1441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7640 Highway 70 S Ste 104",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372211758",
            "country_code": "US",
            "telephone_number": "615-441-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCKENZIE ORAL AND FACIAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-441-1441",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@midstateoralsurgery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "445 Henslee Dr",
            "city": "Dickson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370552166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony McCormick, PT, DPT, OCS, CSCS
• John Bradford McDonough, DO
• Judith Lynn McFall
• Justin T McGee, DPT
• Brittany McKay
• Matthew McLaughlin, DMD, MD
• Amy McNabb, MS, RDN, LDN
• Mary K McNeal, MD
• MDG Tennessee Clinical Entities PLLC
• Brian Meadow, PTA

• Oral and Maxillofacial Surgery (Dentist) in Dickson, TN
• Providers in Dickson, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.