Organization · Type 2 NPI

Kennedy Oral & Facial Surgery PLLC

Oral and Maxillofacial Surgery (Dentist) · Rocky Top, TN

NPI number 1407754369 Active

Practice location

110 Industrial Park Ln
Rocky Top, TN 37769-2300

Fax (865) 498-9808

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.

4 other providers at this address

About NPI 1407754369

Kennedy Oral & Facial Surgery PLLC's National Provider Identifier is 1407754369, issued on Oct 29, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rocky Top, TN. The record was last updated on Oct 29, 2026.