Southeast Oral Surgery Pc

LBN: Southeast Oral Surgery Pc
Southeast Oral Surgery Pc is an health care organization with primary practice located at 1858 Crest Rd , Maryville TN 37804-4305. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Southeast Oral Surgery Pc can be contacted via phone (865) 977-7110, or through Mcconnell, Timothy P via phone (865) 977-7110.

Contact Information

Primary practice address
1858 Crest Rd Maryville TN 37804-4305
Phone: (865) 977-7110
Fax: (865) 977-4132
Website:
Map and Directions
Authorized official contact:
Name: Mcconnell, Timothy P Doctor of Dental Surgery (DDS)
Phone: (865) 977-7110

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1184733446
LBN Legal business name Southeast Oral Surgery Pc
DBA Doing business as
Authorized official Mcconnell, Timothy P Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 15th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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