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SOUTHEAST ORAL SURGERY PC
NPI 1881992279
Dentist - Oral and Maxillofacial Surgery in Knoxville, TN

Active since March 09, 2011
130 MABRY HOOD RD, SUITE 105, KNOXVILLE, TN 37922(865) 693-4442(865) 977-4132 Get Directions Write a Review

NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeast Oral Surgery Pc NPPES

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

SOUTHEAST ORAL SURGERY PC (NPI 1881992279) is a healthcare organization registered as an oral and maxillofacial surgery in Knoxville, Tennessee and active in the NPI registry since March 2011. The organization lists Michelle L Tracy, Office Manater, as its authorized official.

NPPES Registry Identity

NPI1881992279
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTHEAST ORAL SURGERY PC
Location Address130 MABRY HOOD RD, SUITE 105Knoxville, TN 37922-2221
Mailing Address130 Mabry Hood Rd, Suite 105Knoxville, TN 37922-2221 · (865) 693-4442 · Fax (865) 977-4132
Phone(865) 693-4442
Fax(865) 977-4132
Organization SubpartNo
Authorized OfficialMichelle L TracyOffice Manater · (865) 977-7110
Enumeration DateMarch 9, 2011
✔ NPI 1881992279 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.
130 MABRY HOOD RD, Knoxville, TN 37922
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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 from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

APPALACHIAN AUDIOLOGY, PLLC
Audiologist
130 MABRY HOOD RD, SUITE 103
KNOXVILLE, TN 37922
Knox County (865) 357-2334
DR. JANICE E DUNGAN
Audiologist
130 MABRY HOOD RD, SUITE 103
KNOXVILLE, TN 37922
Knox County (865) 357-2334
DEANNE RIESS LUCAS M.A. CCC-SLP
Speech-Language Pathologist
130 MABRY HOOD RD, SUITE 103
KNOXVILLE, TN 37922
Knox County (865) 414-6401

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 Southeast Oral Surgery PC's NPI number?

The NPI number for Southeast Oral Surgery PC is 1881992279. It was assigned to this organization in the NPPES registry on March 9, 2011.

Where is Southeast Oral Surgery PC located?

Southeast Oral Surgery PC is located at 130 Mabry Hood Rd Suite 105, Knoxville, TN 37922. The listed phone number is (865) 693-4442.

What is Southeast Oral Surgery PC's specialty?

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

What insurance does Southeast Oral Surgery PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Southeast Oral Surgery PC 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 Southeast Oral Surgery PC was last updated on March 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.