Individual provider · Type 1 NPI

Graysen McConnell Bloom, DDS

Oral and Maxillofacial Surgery (Dentist) · Maryville, TN

NPI number 1447900402 Active

Practice location

1858 Crest Rd
Maryville, TN 37804-4305

Other practice locations

  • 7761 Dannaher Dr, Powell, TN 37849-4049 · (865) 947-9800
  • 11548 Chapman Hwy, Seymour, TN 37865-5044 · (865) 577-7800
  • 130 Mabry Hood Rd Ste 105, Knoxville, TN 37922-2221 · (865) 693-4442
  • 550 Town Creek Rd E Ste 102, Lenoir City, TN 37772-2600 · (865) 986-4582

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12058 (TN)

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 1447900402

Graysen McConnell Bloom, DDS's National Provider Identifier is 1447900402, issued on Mar 24, 2022. 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 Aug 15, 2026.