Dr. Jason Robert Kennedy
D.M.D. | Oral and Maxillofacial Surgeon | 17+ years Exp
1858 Crest Rd, Maryville
Tennessee, 37804-4305
865-977-7110 Maps & DirectionsDr. Jason Robert Kennedy is a Maryville, Tennessee based Oral and Maxillofacial Surgeon with
17 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Other in 2008 He is also affiliated with hospitals like
. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jason Robert Kennedy is
N/A (RESIDENT) for Oral and Maxillofacial Surgery in Tennessee. His current practice location is
1858 Crest Rd, Maryville. Patients can reach him at
865-977-7110.
Dr. Jason Robert Kennedy 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 Profile:
Dr. Jason Robert Kennedy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jason Robert Kennedy |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.M.D. |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1858 Crest Rd, Maryville,
Tennessee, 37804-4305 |
| Phone: | 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 are as mentioned below.
| PAC ID: | 8325103054 |
| Enrollment ID: | I20090212000632 |
| NPI Number: | 1518151935 |
| NPI Enumeration Date: | 29 Aug, 2007 |
| NPI Last Update On: | 04 Jun, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jason Robert Kennedy are as mentioned below.
| License Number | Specialization | State | Status | |
| N/A (RESIDENT) | Oral and Maxillofacial Surgery | Tennessee | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (440015) | Knoxville, TN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jason Robert Kennedy is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Southeast Oral Surgery Pc (4789628207) | 7 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 301 Lake Forest Dr,
Knoxville, Tennessee |
| Zip: | 37920-5146 |
| Phone Number: | 865-577-0361 |
Patients can reach Dr. Jason Robert Kennedy 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.