DICKSON JAW & FACIAL SURGERY
NPI 1215032438
Dentist - Oral and Maxillofacial Surgery in Dickson, TN

Active since September 13, 2006
445 HENSLEE DR, DICKSON, TN 37055(615) 441-1441(615) 441-1460 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dickson Jaw & Facial Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DICKSON JAW & FACIAL SURGERY (NPI 1215032438) is a healthcare organization registered as an oral and maxillofacial surgery in Dickson, Tennessee and active in the NPI registry since September 2006. The organization lists Lori Ann Petty, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215032438
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDICKSON JAW & FACIAL SURGERY
Location Address445 HENSLEE DRDickson, TN 37055-2166
Mailing Address445 Henslee DrDickson, TN 37055-2166 · (615) 441-1441 · Fax (615) 441-1460
Fax(615) 441-1460
Organization SubpartNo
Authorized OfficialLori Ann PettyOffice Manager · (615) 441-1441
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJune 23, 2009
NPI 1215032438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TN · DS0000007915
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
445 HENSLEE DR, Dickson, TN 37055

Other Identifiers 1

Medicare PIN3734371TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
445 HENSLEE DR
DICKSON, TN 37055
Dentist (Oral and Maxillofacial Surgery)
445 HENSLEE DR
DICKSON, TN 37055
Dentist (Oral and Maxillofacial Surgery)
445 HENSLEE DR
DICKSON, TN 37055
Dentist (Oral and Maxillofacial Surgery)
445 HENSLEE DR
DICKSON, TN 37055
Dentist (Oral and Maxillofacial Surgery)
445 HENSLEE DR
DICKSON, TN 37055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dickson Jaw & Facial Surgery's NPI number?

The NPI number for Dickson Jaw & Facial Surgery is 1215032438. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Dickson Jaw & Facial Surgery located?

Dickson Jaw & Facial Surgery is located at 445 Henslee Dr, Dickson, TN 37055. The listed phone number is (615) 441-1441.

What is Dickson Jaw & Facial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Dickson Jaw & Facial Surgery was last updated on June 23, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.