Kennedy Oral & Facial Surgery PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

KENNEDY ORAL & FACIAL SURGERY PLLC

Practice address

110 Industrial Park LN
Rocky Top, TN 37769-2300

Phone

(865) 498-6725

Fax

(865) 498-9808

NPI assigned

Oct 29, 2026

Last updated

Oct 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Lynn Tracy

Title

Practice Manager

Phone

(865) 498-6725

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1407754369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 INDUSTRIAL PARK LN",
            "city": "ROCKY TOP",
            "state": "TN",
            "postal_code": "377692300",
            "telephone_number": "865-498-6725",
            "fax_number": "865-498-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 INDUSTRIAL PARK LN",
            "city": "ROCKY TOP",
            "state": "TN",
            "postal_code": "377692300",
            "telephone_number": "865-498-6725",
            "fax_number": "865-498-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY ORAL & FACIAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "865-498-6725",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": []
}

• Fast Pace Medical Clinic PLLC
• April Freeman, FNP
• Amanda M Gerth-Jones, LCSW
• Leslie Denise Holmes-Leach, DMD
• Jessica L Jones
• Cara Lynn Kennedy, DMD
• Jason Robert Kennedy, D.M.D.
• Margot Diana King, DMD
• Ashley Lash, DDS
• Abigail Lesoine, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Rocky Top, TN
• Providers in Rocky Top, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; 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.