Active NPI
Ted A George Jr., DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Knoxville, TN
National Provider Identifier
1942289020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DS04769
- Practice address
- 939 E Emerald Ave
Ste 501
Knoxville, TN 37917 - Phone
- (865) 522-6885
- Fax
- (865) 522-0026
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DS04769 | TN | Primary |
Addresses
Primary practice location
939 E Emerald Ave
Ste 501
Knoxville, TN 37917
Mailing address
939 E Emerald Ave
Ste 501
Knoxville, TN 37917
Phone (865) 522-6885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3225863 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS04769 | TN | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1942289020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 E EMERALD AVE",
"address_2": "STE 501",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37917",
"telephone_number": "865-522-6885",
"fax_number": "865-522-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 E EMERALD AVE",
"address_2": "STE 501",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37917",
"telephone_number": "865-522-6885",
"fax_number": "865-522-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "TED",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "TN",
"license": "DS04769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3225863",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.