Oral Surgery Specialists of Tennessee, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

DS2349 Issued in TN

Legal business name

ORAL SURGERY SPECIALISTS OF TENNESSEE, P.C.

Practice address

140 E Division Rd
Oak Ridge, TN 37830-6937

Phone

(865) 482-5811

Fax

(865) 482-8686

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Travis Arnold Witherington, D.D.S.NPI 1619952850

Title

Surgeon/ Owner

Phone

(865) 482-5811

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis A. Witherington, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Oak Ridge, TN
  • NPI 1619952850
  NPD (past) Authorized official
• Joshua A Campbell, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Knoxville, TN
  • NPI 1104009646
  NPD (past)
• Andrew C Cheung, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Oak Ridge, TN
  • NPI 1043234750
  NPD (past)
• John Hideo Mizukawa II, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • St George, UT
  • NPI 1104261023
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1023129772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E DIVISION RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306937",
            "telephone_number": "865-482-5811",
            "fax_number": "865-482-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E DIVISION RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306937",
            "telephone_number": "865-482-5811",
            "fax_number": "865-482-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY SPECIALISTS OF TENNESSEE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "WITHERINGTON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "SURGEON/ OWNER",
        "authorized_official_telephone_number": "865-482-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "DS2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy R Oesch, M.D.
• Emily Olin
• Amy Auten Olson, LCSW
• Shana Oltman
• Oral & Maxillofacial Surgical Specialists
• Jared Michael Orick, APRN
• Orthotennessee, PC
• Orthotennessee, PC
• Orthotennessee, PC
• Orthotennessee, PC

• Specialist in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.