Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY
Graduated: 2004
Also: ORAL SURGERY
NPI: 1932256823
Practice Locations (1)
ORAL SURGICAL INSTITUTE PC
125 COOL SPRINGS BLVD, SUITE 120
FRANKLIN, TN 370676475
6157780902
Source: CMS National Downloadable File, September 2026.