Knoxville Oral & Maxillofacial Surgery

Primary specialty

DentistTaxonomy code 122300000X

License

4447359 Issued in TN

Legal business name

KNOXVILLE ORAL & MAXILLOFACIAL SURGERY

Practice address

6207 Highland Place Way
Knoxville, TN 37919-4027

Phone

(865) 584-6207

Fax

(865) 934-0080

NPI assigned

Nov 11, 2005

Last updated

Aug 22, 2020By 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

Dr. Michael D Wooten, DDSNPI 1194845982

Title

Ceo

Phone

(865) 584-6207

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Michael Dean Wooten, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Knoxville, TN
  • NPI 1194845982
  Authorized official Same address or phone
• Turner Paul Emery, M.D., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Gainesville, FL
  • NPI 1972676039
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598746927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 HIGHLAND PLACE WAY",
            "address_2": "STE 207",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194027",
            "telephone_number": "865-584-6207",
            "fax_number": "865-934-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 HIGHLAND PLACE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194027",
            "telephone_number": "865-584-6207",
            "fax_number": "865-934-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-584-6207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "4447359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "400149",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5315104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Knoxville Omnicare PLLC
• Knoxville Omnicare, PLLC
• Knoxville Opco LLC (Creekview Health and Rehabilitation)
• Knoxville Ophthalmology ASC, LLC (Eye Surgery Center of East Tennessee)
• Knoxville Ophthalmology ASC, LLC (Eye Surgery Center of East Tennessee)
• Knoxville Orthopaedic Surgery Center LLC
• Knoxville Pain Specialists, PLLC
• Knoxville Pathology Consultants PC
• Knoxville Pediatric Associates, P.C.
• Knoxville Pediatric Dentistry, PLLC

• Dentist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dentist in Tennessee

• 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.