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Southeast Oral Surgery PC

Oral and Maxillofacial Surgery (Dentist) in Maryville, TN · enumerated 2006 · authorized official Timothy Mcconnell, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184733446

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Oral Surgery PC
Practice address 1858 Crest Rd, Maryville, TN, 37804
Fax (865) 977-4132
Enumeration date Aug 30, 2006
Last updated in NPPES Apr 15, 2009

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Timothy Mcconnell
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Southeast Oral Surgery PC located?
The practice location on file with NPPES is in Maryville, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-04-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-04-15.