TENNESSEE MAXILLOFACIAL SURGERY, PLLC; NPI #1275211914

Contact Information

TENNESSEE MAXILLOFACIAL SURGERY, PLLC

1930 ALCOA HWY STE 335
KNOXVILLE, TN 37920-1585

Phone: 865-305-9022
Fax: 865-305-9026
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for TENNESSEE MAXILLOFACIAL SURGERY, PLLC

NPI Number	`1275211914`
LBN Legal business name	TENNESSEE MAXILLOFACIAL SURGERY, PLLC
Authorized official	CAROL BURGESS - (PROVIDER ENROLLMENT TEAM LEAD)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/11/2023
Last updated	07/26/2025 - About 10 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TENNESSEE MAXILLOFACIAL SURGERY, PLLC

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for TENNESSEE MAXILLOFACIAL SURGERY, PLLC

Reviews for TENNESSEE MAXILLOFACIAL SURGERY, PLLC