Max S. Breazeal, DDS

General Practice Dentistry · Collierville, TN

Individual Active NPI

NPI number 1073523049

Practice location

61 Peyton Pkwy
Suite 103
Collierville, TN 38017-9702
Phone
(901) 861-0031
Fax
(901) 861-4031

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NPI record

NPI
1073523049
Entity type
Individual (Type 1)
Enumeration date
August 9, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4147 TN

About Dr. Breazeal

Max S. Breazeal, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 61 Peyton Pkwy, Suite 103, Collierville, TN 38017-9702. The NPI number 1073523049 was assigned on August 9, 2006 and the record was last updated on July 8, 2007.

Dr. Breazeal lists a license in the registry: #4147 (TN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Max S. Breazeal, DDS?

The NPI number is 1073523049.

What is the phone number of Dr. Breazeal?

The phone number listed for the practice location is (901) 861-0031.

Where is Dr. Breazeal located?

61 Peyton Pkwy, Suite 103, Collierville, TN 38017-9702.

What is the taxonomy code for Dr. Breazeal?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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