Organization · Type 2 NPI

Southeast Oral Surgery PC

Oral and Maxillofacial Surgery (Dentist) · Knoxville, TN

NPI number 1881992279 Active

Practice location

130 Mabry Hood Rd, Suite 105
Knoxville, TN 37922-2221

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.

3 other providers at this address

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About NPI 1881992279

Southeast Oral Surgery PC's National Provider Identifier is 1881992279, issued on Mar 9, 2011. 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 Mar 9, 2011.