Organization
PICKETT ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID OWEN PICKETT DMD (PRESIDENT)
(865) 691-0918
Entity
Organization
Contact information
Practice address
248 N PETERS RD STE 1, KNOXVILLE, TN 37923-4925
(865) 691-0918
(865) 691-6215
Mailing address
248 N PETERS RD STE 1, KNOXVILLE, TN 37923-4925
(865) 691-0918
(865) 691-6215
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/23/2012
Last updated
08/25/2023
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