Rian Ahram Cho, DDS
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Lenoir City, TN
NPI 1336669332 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1336669332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 0000011452 (TN)
- Practice address
- 550 Town Creek Rd E Ste 102
Lenoir City, TN 37772-2600 - Phone
- (865) 986-4582
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180912000647 | TN | Order and Referring Only - Maxillofacial Surgery |
4789941659 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000011452 | TN | MD | Oral and Maxillofacial Pathology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rian Cho DDS PLLC | Oral and Maxillofacial Surgery | Current |
Accepting new patients |
| Southeast Oral Surgery PC | Oral and Maxillofacial Surgery | Past |
Accepting new patients |
Locations
349 Rockwood Rd
Arden, NC 28704
Phone (828) 358-1583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 0000011452 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0000011452 | TN | Yes |
Addresses
Primary practice location
550 Town Creek Rd E Ste 102
Lenoir City, TN 37772-2600
Mailing address
550 Town Creek Rd E Ste 102
Lenoir City, TN 37772-2600
Phone (865) 947-9800
Other practice location 1
1930 Alcoa Highway
Knoxville, TN 37920
Phone (865) 305-9352
Other providers in Lenoir City, TN
- Justin Robert Cecil
- Abigale Bethanie Cheatham
- Cherokee Health Systems
- Cherokee Health Systems
- Casey Cho
- Chuc, LLC
- Luz Maria Cilis Moxthe
- Maria H Cisneros
- Tracy Diann Clarkson
- Melissa Sue Clasby
All providers in Lenoir City, TN · Oral and Maxillofacial Surgery (Dentist) in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.