KNOXVILLE CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PC – NPI #1891298337
Clinic/Center

The specialty of dentistry which includes 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.

KNOXVILLE CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PC is an AHC clinic located in OAK RIDGE, TN. NPPES has assigned the NPI number 1891298337 to KNOXVILLE CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PC on March 12, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

The NPI profile was previously updated about 8 years ago on Oct 24, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KNOXVILLE CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PC below.

NPI Profile for
KNOXVILLE CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PC

NPI Number
1891298337
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KNOXVILLE CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PC
Primary location
4533 PAPERMILL ROAD
OAK RIDGE, TN 37830
Phone: (865) 410-3075 Fax: (865) 674-5122
1 Other location(s):
420 Laboratory Rd
Oak Ridge, TN 37830-6802
Phone: (865) 410-3075
Fax: (865) 481-3067
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NICOLE EISENBERG
OWNER
Phone: (865) 410-3075
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.