Wooten, Michael Dean

Wooten, Michael Dean is an sole proprietor health care provider with primary practice located at 6207 Highland Place Way Suite 207, Knoxville TN 37919-4027. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wooten, Michael Dean can be contacted via phone (865) 584-6207.

Contact Information

Primary practice address
6207 Highland Place Way Suite 207 Knoxville TN 37919-4027
Phone: (865) 584-6207
Fax: (865) 934-0080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS4213 Tennessee

Profile Details

NPI number 1194845982
LBN Legal business name Wooten, Michael Dean
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194845982 NPPES
Tennessee Other 4000149 BCBS PROVIDER #
Tennessee MEDICAID 3225414 BCBS PROVIDER #
Tennessee Other DS4213 BCBS PROVIDER #

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