Organization
KNOXVILLE CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE EISENBERG (OWNER)
(865) 410-3075
Entity
Organization
Contact information
Practice address
4533 PAPERMILL ROAD, OAK RIDGE, TN 37830
(865) 410-3075
(865) 674-5122
Mailing address
4533 PAPERMILL ROAD, OAK RIDGE, TN 37830
(865) 410-3075
(865) 674-5122
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
10/24/2018
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