Oral & Maxillofacial Surgery Assoc PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DS04769 Issued in TN

Legal business name

ORAL & MAXILLOFACIAL SURGERY ASSOC PC

Practice address

11213 W Point Dr Ste 501
Knoxville, TN 37934-2838

Phone

(865) 675-0677

Fax

(865) 675-0681

NPI assigned

May 27, 2008

Last updated

May 29, 2019By 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

Theodore 'Ted' A George Jr., DDS

Title

Oral Surgeon Vice President

Phone

(865) 675-0677

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua A Campbell, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Knoxville, TN
  • NPI 1104009646
  NPD

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1538327655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11213 W POINT DR STE 501",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342838",
            "telephone_number": "865-675-0677",
            "fax_number": "865-675-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11213 W POINT DR STE 501",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342838",
            "telephone_number": "865-675-0677",
            "fax_number": "865-675-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 E Emerald Ave",
            "address_2": "Suite 501",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37917",
            "country_code": "US",
            "telephone_number": "865-522-6885",
            "fax_number": "865-522-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGERY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "THEODORE 'TED'",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORAL SURGEON VICE PRESIDENT",
        "authorized_official_telephone_number": "865-675-0677",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "DS02991",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "DS04769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donald Oquinn III
• Shelbie Taylor Oran
• David Ordogh
• Kayla Francis Ordogh, MD
• Kadison Orenstein
• Matthew Justin Orenstein, PA

• Oral & Maxillofacial Surgery (D.M.D.) in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.