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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENNEDY ORAL & FACIAL SURGERY PLLC
NPI 1407754369
Dentist - Oral and Maxillofacial Surgery in Rocky Top, TN

Active since October 29, 2026
110 INDUSTRIAL PARK LN, ROCKY TOP, TN 37769(865) 498-6725(865) 498-9808 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kennedy Oral & Facial Surgery Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY ORAL & FACIAL SURGERY PLLC (NPI 1407754369) is a healthcare organization registered as an oral and maxillofacial surgery in Rocky Top, Tennessee and active in the NPI registry since October 2026. The organization lists Michelle Lynn Tracy, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1407754369
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameKENNEDY ORAL & FACIAL SURGERY PLLC
Location Address110 INDUSTRIAL PARK LNRocky Top, TN 37769-2300
Mailing Address110 Industrial Park LnRocky Top, TN 37769-2300 · (865) 498-6725 · Fax (865) 498-9808
Phone(865) 498-6725
Fax(865) 498-9808
Organization SubpartNo
Authorized OfficialMichelle Lynn TracyPractice Manager · (865) 498-6725
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1407754369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
110 INDUSTRIAL PARK LN, Rocky Top, TN 37769
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APRIL FREEMAN FNP
Nurse Practitioner (Family)
110 INDUSTRIAL PARK LN
ROCKY TOP, TN 37769
Anderson County (865) 426-7441
CARA LYNN KENNEDY DMD
Dentist (Prosthodontics)
110 INDUSTRIAL PARK LN
ROCKY TOP, TN 37769
Anderson County (865) 426-7421
ROCKY TOP DENTISTRY PLLC
Dentist (General Practice)
110 INDUSTRIAL PARK LN
ROCKY TOP, TN 37769
Anderson County (865) 426-7421
DR. MARGOT DIANA KING DMD
Dentist
110 INDUSTRIAL PARK LN
ROCKY TOP, TN 37769
Anderson County (865) 426-7421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Oral & Facial Surgery PLLC's NPI number?

The NPI number for Kennedy Oral & Facial Surgery PLLC is 1407754369. It was assigned to this organization in the NPPES registry on October 29, 2026.

Where is Kennedy Oral & Facial Surgery PLLC located?

Kennedy Oral & Facial Surgery PLLC is located at 110 Industrial Park Ln, Rocky Top, TN 37769. The listed phone number is (865) 498-6725.

What is Kennedy Oral & Facial Surgery PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Kennedy Oral & Facial Surgery PLLC was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.