Southeast Oral Surgery PC
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Knoxville, TN
NPI 1881992279 · NPPES record last updated Mar 9, 2011
Key facts
- NPI
- 1881992279
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- Legal business name
- SOUTHEAST ORAL SURGERY PC
- Practice address
- 130 Mabry Hood Rd
Suite 105
Knoxville, TN 37922-2221 - Phone
- (865) 693-4442
- Fax
- (865) 977-4132
- NPI assigned
- Mar 9, 2011
- Organization subpart
- No
Authorized official
- Name
- Michelle L Tracy
- Title
- Office Manater
- Phone
- (865) 977-7110
Practitioners 2
-
Rian Ahram Cho, DDS
National Provider Directory
Locations
130 Mabry Hood Rd
Ste 105
Knoxville, TN 37922
Phone (865) 693-4442
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | Yes |
Addresses
Primary practice location
130 Mabry Hood Rd
Suite 105
Knoxville, TN 37922-2221
Mailing address
130 Mabry Hood Rd
Suite 105
Knoxville, TN 37922-2221
Phone (865) 693-4442
Other providers in Knoxville, TN
- Soul of Serenity Center
- Sound Image Inc
- South Knox Dental
- Southeast Behavioral Services
- Southeast Eye Surgery Center, LLC
- Southeast Oral Surgery PC
- Southeast Precision Clinic of Chiropractic, PLLC
- Southeast Spine & Pain Associates LLC
- Southeast Spine and Pain Associates Inc.
- Southeast Spine and Rehab Corp.
All providers in Knoxville, TN · Oral and Maxillofacial Surgery (Dentist) in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.