TENNESSEE VALLEY ORAL SURGERY. PLLC
NPI 1861013195
Dentist - Oral and Maxillofacial Surgery in Maryville, TN

Q: What is Tennessee Valley Oral Surgery. PLLC's NPI number?

The NPI number for Tennessee Valley Oral Surgery. PLLC is 1861013195. It was assigned to this organization in the NPPES registry on April 28, 2020.

Q: What is Tennessee Valley Oral Surgery. PLLC's specialty?

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

Active since April 28, 2020

205 SOUTHDOWNE DR, MARYVILLE, TN 37801(865) 381-8867(865) 724-1803 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Tennessee Valley Oral Surgery. Pllc NPPES

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

TENNESSEE VALLEY ORAL SURGERY. PLLC (NPI 1861013195) is a healthcare organization registered as an oral and maxillofacial surgery in Maryville, Tennessee and active in the NPI registry since April 2020. The organization lists Karen Kimsey, Patient Care Coordinator, as its authorized official.

NPPES Registry Identity

NPI1861013195

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameTENNESSEE VALLEY ORAL SURGERY. PLLC

Location Address205 SOUTHDOWNE DRMaryville, TN 37801-3747

Mailing Address205 Southdowne DrMaryville, TN 37801-3747 · (865) 381-8867 · Fax (865) 724-1803

Phone(865) 381-8867

Fax(865) 724-1803

Organization SubpartNo

Authorized OfficialKaren KimseyPatient Care Coordinator · (865) 381-8867

Enumeration DateApril 28, 2020

Last NPPES UpdateJune 30, 2020

NPPES CertifiedJune 30, 2020

✔ NPI 1861013195 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.

205 SOUTHDOWNE DR, Maryville, TN 37801

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tennessee Valley Oral Surgery. Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tennessee Valley Oral Surgery. PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Otto Slater, DDS

Oral Surgery

NPI 1427031947

205 SOUTHDOWNE DR
Maryville, TN 37801

(865) 381-8867

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tennessee Valley Oral Surgery. PLLC's NPI number?

The NPI number for Tennessee Valley Oral Surgery. PLLC is 1861013195. It was assigned to this organization in the NPPES registry on April 28, 2020.

Where is Tennessee Valley Oral Surgery. PLLC located?

Tennessee Valley Oral Surgery. PLLC is located at 205 Southdowne Dr, Maryville, TN 37801. The listed phone number is (865) 381-8867.

What is Tennessee Valley Oral Surgery. PLLC's specialty?

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

Is Tennessee Valley Oral Surgery. PLLC enrolled in Medicare?

Yes. Tennessee Valley Oral Surgery. PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tennessee Valley Oral Surgery. PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Tennessee Valley Oral Surgery. PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tennessee Valley Oral Surgery. PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Tennessee Valley Oral Surgery. PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tennessee Valley Oral Surgery. PLLC was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.