Organization Active NPI

Oral & Maxillofacial Surgical Specialists

  • Oral and Maxillofacial Surgery (Dentist)
  • Oak Ridge, TN
National Provider Identifier
1356414189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ORAL & MAXILLOFACIAL SURGICAL SPECIALISTS
Practice address
420 Laboratory Rd
Oak Ridge, TN 37830-6802
Phone
(865) 482-1319
Fax
(865) 481-3067
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brett Jaffrey, DDS
Title
Oral Surgeon
Phone
(865) 482-1319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

420 Laboratory Rd
Oak Ridge, TN 37830-6802

Mailing address

420 Laboratory Rd
Oak Ridge, TN 37830-6802
Phone (865) 482-1319

National Provider Directory

National Provider Directory

Locations

420 Laboratory Rd
Oak Ridge, TN 37830
Phone (423) 482-1319

7714 Conner Rd
Ste 103
Powell, TN 37849
Phone (865) 938-6725

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356414189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LABORATORY RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306802",
            "telephone_number": "865-482-1319",
            "fax_number": "865-481-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LABORATORY RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306802",
            "telephone_number": "865-482-1319",
            "fax_number": "865-481-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAFFREY",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "865-482-1319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.