Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southeast Oral Surgery PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1881992279

Southeast Oral Surgery PC is an Oral and Maxillofacial Surgery (Dentist) in Knoxville, Tennessee. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Mabry Hood Rd Ste 105
Knoxville, TN 37922-2221
Phone: (865) 693-4442
Fax: (865) 977-4132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1881992279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Tracy — Office Manater · (865) 977-7110
NPI enumeratedMarch 9, 2011
Last updated in NPPESMarch 9, 2011
Mailing address130 Mabry Hood Rd, Suite 105, Knoxville, TN 37922-2221

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