Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Other names
University Oral & Maxillofacial Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A MAYNARD (VICE PRESIDENT)
(865) 305-6427
Entity
Organization
Contact information
Practice address
1928 ALCOA HWY, STE 305, KNOXVILLE, TN 37920-1502
(865) 305-6625
(865) 305-6628
Mailing address
PO BOX 415000-MSC8154, NASHVILLE, TN 37241-8154
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
02/01/2016
Last updated
08/24/2021
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