Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mitchell Ryan Mascaro, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1356837322

Dr. Mitchell Ryan Mascaro, DDS is an Oral and Maxillofacial Surgery (Dentist) in Knoxville, Tennessee. Licensed in Illinois and Tennessee. Registered with an NPI since 2018.

Licensed in
IL, TN
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

130 Mabry Hood Rd Ste 105
Knoxville, TN 37922-2221
Phone: (865) 693-4442
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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 · Licence DS0000011998 (TN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 018.002079 (IL)

Record details

NPI number1356837322
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address130 Mabry Hood Rd Ste 105, Knoxville, TN 37922-2221

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