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SOUTHEAST ORAL SURGERY PC
NPI 1952547366
Dentist - Oral and Maxillofacial Surgery in Knoxville, TN

Active since January 07, 2009
801 W OLDHAM AVE, KNOXVILLE, TN 37921(865) 522-1244(865) 525-7041 Get Directions Write a Review

NPPES record last updated: April 15, 2009. 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 1952547366) is a healthcare organization registered as an oral and maxillofacial surgery in Knoxville, Tennessee and active in the NPI registry since January 2009. The organization lists Timothy Mcconnell, Partner, as its authorized official.

NPPES Registry Identity

NPI1952547366
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTHEAST ORAL SURGERY PC
Location Address801 W OLDHAM AVEKnoxville, TN 37921-2747
Mailing Address1858 Crest RdMaryville, TN 37804-4305 · (865) 977-7110 · Fax (865) 977-4132
Phone(865) 522-1244
Fax(865) 525-7041
Organization SubpartNo
Authorized OfficialTimothy McconnellPartner · (865) 977-7110
Enumeration DateJanuary 7, 2009
Last NPPES UpdateApril 15, 2009
✔ NPI 1952547366 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.
801 W OLDHAM AVE, Knoxville, TN 37921
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

TONYA LYNN CARSON RDH
Dental Hygienist
801 W OLDHAM AVE
KNOXVILLE, TN 37921
Knox County (865) 522-1244
DR. GEORGE JOSHUA STEEDLEY DMD
Dentist
801 W OLDHAM AVE
KNOXVILLE, TN 37921
Knox County (865) 522-1244
DR. THOMAS ANDREW SHARP D.D.S.
Dentist (General Practice)
801 W OLDHAM AVE
KNOXVILLE, TN 37921
Knox County (865) 522-1244
DR. RICHARD MYERS III D.D.S.
Dentist (General Practice)
801 W OLDHAM AVE
KNOXVILLE, TN 37921
Knox County (865) 522-1244
PHDC OF KNOXVILLE, P.C.
Dentist (General Practice)
801 W OLDHAM AVE
KNOXVILLE, TN 37921
Knox County (865) 522-1244

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 1952547366. It was assigned to this organization in the NPPES registry on January 7, 2009.

Where is Southeast Oral Surgery PC located?

Southeast Oral Surgery PC is located at 801 W Oldham Ave, Knoxville, TN 37921. The listed phone number is (865) 522-1244.

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.

When was this NPI record last updated?

The NPPES record for Southeast Oral Surgery PC was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.