| Pickett Oral Surgery Pc | |
|
248 N Peters Rd Ste 1 Knoxville TN 37923-4925 | |
| (865) 691-0918 | |
| (865) 691-6215 |
| Full Name | Pickett Oral Surgery Pc |
|---|---|
| Speciality | Dentist |
| Location | 248 N Peters Rd Ste 1, Knoxville, Tennessee |
| Authorized Official Name and Position | David Owen Pickett (PRESIDENT) |
| Authorized Official Contact | 8656910918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pickett Oral Surgery Pc 248 N Peters Rd Ste 1 Knoxville TN 37923-4925 Ph: (865) 691-0918 | Pickett Oral Surgery Pc 248 N Peters Rd Ste 1 Knoxville TN 37923-4925 Ph: (865) 691-0918 |
| NPI Number | 1275809394 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 08/25/2023 |
| Medicare PECOS PAC ID | 7719149194 |
|---|---|
| Medicare Enrollment ID | O20120501000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275809394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | William Ross High |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144390782 PECOS PAC ID: 9537321914 Enrollment ID: I20120501000394 |
| Provider Name | David O Pickett |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164664140 PECOS PAC ID: 8022258961 Enrollment ID: I20130717000281 |
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