Organization
TENNESSEE MAXILLOFACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BURGESS (PROVIDER ENROLLMENT TEAM LEAD)
(865) 670-6754
Entity
Organization
Contact information
Practice address
1930 ALCOA HWY STE 335, KNOXVILLE, TN 37920-1585
(865) 305-9022
(865) 305-9026
Mailing address
1930 ALCOA HWY STE A335, KNOXVILLE, TN 37920-1585
(865) 305-2600
(865) 305-2270
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/26/2025
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