Organization · Type 2 NPI

Southeast Oral Surgery PC

Oral and Maxillofacial Surgery (Dentist) · Maryville, TN

NPI number 1184733446 Active

Practice location

1858 Crest Rd
Maryville, TN 37804-4305

Call (865) 977-7110 Map

Fax (865) 977-4132

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

5 other providers at this address

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About NPI 1184733446

Southeast Oral Surgery PC's National Provider Identifier is 1184733446, issued on Aug 30, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maryville, TN. The record was last updated on Apr 15, 2009.