Individual provider · Type 1 NPI

Jack E. Gotcher Jr., D.M.D, PhD

Oral and Maxillofacial Surgery (Dentist) · Knoxville, TN

NPI number 1619967676 Active

Practice location

1928 Alcoa Hwy, Suite 305
Knoxville, TN 37920-1502

Call (865) 305-6625 Map

Fax (865) 305-6628

Mailing address

PO Box 440103
Nashville, TN 37244-0103

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS0000003654 (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.

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About NPI 1619967676

Jack E. Gotcher Jr., D.M.D, PhD's National Provider Identifier is 1619967676, issued on Oct 21, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Knoxville, TN. The record was last updated on Nov 4, 2010.