| Tennessee Valley Oral Surgery. Pllc | |
|
205 Southdowne Dr Maryville TN 37801-3747 | |
| (865) 381-8867 | |
| (865) 724-1803 |
| Full Name | Tennessee Valley Oral Surgery. Pllc |
|---|---|
| Speciality | Dentist |
| Location | 205 Southdowne Dr, Maryville, Tennessee |
| Authorized Official Name and Position | Karen Kimsey (PATIENT CARE COORDINATOR) |
| Authorized Official Contact | 8653818867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Valley Oral Surgery. Pllc 205 Southdowne Dr Maryville TN 37801-3747 Ph: (865) 381-8867 | Tennessee Valley Oral Surgery. Pllc 205 Southdowne Dr Maryville TN 37801-3747 Ph: (865) 381-8867 |
| NPI Number | 1861013195 |
|---|---|
| Provider Enumeration Date | 04/28/2020 |
| Last Update Date | 06/30/2020 |
| Medicare PECOS PAC ID | 1456774835 |
|---|---|
| Medicare Enrollment ID | O20200701001970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861013195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Otto W Slater |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427031947 PECOS PAC ID: 6305919465 Enrollment ID: I20111215000678 |
Monica T Ginart Dmd Ms Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 W Broadway Ave, Maryville, TN 37801 Phone: 865-724-0505 | |
Maryville Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Montvale Station Rd, Maryville, TN 37803 Phone: 865-984-3800 | |
Prohealth Senior Services Of Virginia Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 High St, Maryville, TN 37804 Phone: 844-700-0088 | |
Charles H. Shanks, D.d.s., P.c. Dental Clinic Medicare: Medicare Enrolled Practice Location: 1511 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-8048 Fax: 865-977-0318 | |
Curtiss Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1507 East Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-984-3211 Fax: 865-984-9858 | |
Carroll R. Shanks, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-8048 Fax: 865-977-0318 | |
Emert-moss Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-4642 Fax: 865-983-9925 |