Tennessee Valley Oral Surgery. Pllc

Specialty details in registry · Maryville, TN

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At a glance

205 Southdowne Dr, Maryville, TN 37801-3747

NPPES record updated Jun 30, 2020. Public records can lag behind changes at a practice.

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Practice location

205 Southdowne Dr
Maryville, TN 37801-3747
Professional details: NPI, taxonomy & registry record
NPI1861013195
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223S0112X
Enumeration date
Apr 28, 2020
Record updated
Jun 30, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223S0112X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

205 Southdowne Dr
Maryville, TN 37801-3747
Phone
(865) 381-8867
Fax
(865) 724-1803
Mailing address
205 SOUTHDOWNE DR

MARYVILLE, TN 378013747
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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