Southeast Oral Surgery Pc
Oral and Maxillofacial Dental Clinic
1858 Crest Rd, Maryville
Tennessee, 37804-4305
865-977-7110 865-977-4132
Maps & DirectionsSoutheast Oral Surgery Pc is a Oral and Maxillofacial Dental Clinic in Maryville, Tennessee. It is located at 1858 Crest Rd, Maryville, TN and its contact number is 865-977-7110. The authorized person for Southeast Oral Surgery Pc is Timothy P Mcconnell
who is Ceo of the clinic and their contact number is 865-977-7110.
Southeast Oral Surgery Pc Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Southeast Oral Surgery Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southeast Oral Surgery Pc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 1858 Crest Rd, Maryville, Tennessee, 37804-4305 |
| Phone: | 865-977-7110 |
| Fax: | 865-977-4132 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Timothy P Mcconnell |
| Position: | Ceo |
| Contact Number: | 865-977-7110 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southeast Oral Surgery Pc clinic are as mentioned below.
| NPI Number: | 1184733446 |
| NPI Enumeration Date: | 30 Aug, 2006 |
| NPI Last Update On: | 15 Apr, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southeast Oral Surgery Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southeast Oral Surgery Pc 1858 Crest Rd, Maryville, Tennessee |
| Zip: | 37804-4305 |
| Phone Number: | 865-977-7110 |
| Fax Number: | 865-977-4132 |
Patients can reach Southeast Oral Surgery Pc at
1858 Crest Rd, Maryville, Tennessee or can
call to book an appointment on 865-977-7110.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.