Timothy P McConnell, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6806 Issued in TN

Practice address

1858 Crest Rd
Maryville, TN 37804-4305

Phone

(865) 977-7110

Fax

(865) 977-4132

NPI assigned

Nov 29, 2005

Last updated

Aug 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Maryville, TN
  • NPI 1184733446
  Authorized official Same address or phone
• Southeast Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Knoxville, TN
  • NPI 1952547366
  Authorized official Same address or phone

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1821071341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 CREST RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378044305",
            "telephone_number": "865-977-7110",
            "fax_number": "865-977-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 CREST RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378044305",
            "telephone_number": "865-977-7110",
            "fax_number": "865-977-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "6806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Lee McClellan, APRN
• Jennifer McClements
• Chad Andrew McClure, DNP
• Leighanna Brooke McClure, R.N.
• Jonathan McCollum, LCSW
• Karissa McCoy
• Atlanta Gayle Russell McCravey, FNP-BC
• Amanda Marianne McEntee, LPC
• Alicia McFalls
• Melanie McGhee, L.C.S.W.

• Oral and Maxillofacial Surgery (Dentist) in Maryville, TN
• Providers in Maryville, 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 Aug 6, 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.