# FARRAGUT ORAL SURGERY AND IMPLANT CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farragut Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952954281
- **Authorized official:** JOSHUA CAMPBELL DDS (OWNER)
- **Authorized official phone:** (865) 409-0036

## Contact information

- **Practice address:** 1928 ALCOA HWY BLDG B, KNOXVILLE, TN 37920-1502
- **Practice address phone:** (865) 409-0036
- **Practice address fax:** (865) 223-6313
- **Mailing address:** 7632 GLEASON DR, KNOXVILLE, TN 37919-6846
- **Mailing address phone:** (865) 409-0036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2019
- **Last updated:** 07/16/2019
