ORAL SURGERY SPECIALISTS OF TENNESSEE, P.C. (NPI# 1023129772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023129772 |
| Entity Type | Organization |
| Organization Name | ORAL SURGERY SPECIALISTS OF TENNESSEE, P.C. |
| Practice Address |
140 E Division Rd Oak Ridge TN 37830-6937 |
| Practice Telephone | 8654825811 |
| Practice Fax Number | 8654828686 |
| Mailing Telephone | 8654825811 |
| Mailing Fax Number | 8654828686 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | DR. TRAVIS ARNOLD WITHERINGTON (SURGEON/ OWNER) |
| Authorized Official Telephone | 8654825811 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | DS2349 | TN | Other Service Providers |
| Street Address |
140 E DIVISION RD |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-6937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396393617 | Christopher Derrick Thomas | Dentist | 140 E Division Rd, Oak Ridge, TN 37830-6937 | 2019-08-29 |
| 1104261023 | John Hideo Mizukawa II | Dentist | 140 E Division Rd, Oak Ridge, TN 37830-6937 | 2013-05-06 |
| 1164679874 | Lindsey Ann Nagy | Dentist | 140 E Division Rd, Oak Ridge, TN 37830-6937 | 2008-08-25 |
| 1730368408 | Pain Management | Nurse Practitioner | 140 E Division Rd, A1, Oak Ridge, TN 37830-6937 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841648482 | Karen Costanza | Specialist | 14 Gold Ln, Oak Ridge, NJ 07438-9023 | 2016-05-24 |
| 1215266135 | Rubin Burt Prater | Specialist | Highway 58 - Gallaher Road, K-1007, Ms-7422, Oak Ridge, TN 37831-4699 | 2009-12-24 |
| 1063421550 | Pathology Medical Associates, Pllc | Specialist | 129 E Division Rd, Oak Ridge, TN 37830-6907 | 2006-08-05 |
| 1629012109 | Kenneth T. Miller Jr. | Specialist | 160a W Tennesse Ave, Oak Ridge, TN 37830-6940 | 2006-06-15 |
| 1629063342 | Paul Barongan | Specialist | 145 E Vance Rd, Oak Ridge, TN 37830-6528 | 2005-09-19 |
| 1427679539 | Amanda Ellice Jett | Specialist | 100 Adams Ln, Oak Ridge, TN 37830-4909 | 2020-04-29 |
| 1497206858 | Don Erick Mcilwain | Specialist | 300 Laboratory Rd, Oak Ridge, TN 37830-6911 | 2016-10-20 |
| 1295977783 | Adam B Shrewsberry | Specialist | 800 Oak Ridge Tpke, Suite A101, Oak Ridge, TN 37830-6957 | 2009-03-30 |
| 1710149075 | Allergy Associates Pa | Specialist | 200 New York Ave, Suite 250, Oak Ridge, TN 37830-5212 | 2008-06-27 |
| 1750586343 | Elaine Marie Bunick | Specialist | 200 New York Ave, Suite #160, Oak Ridge, TN 37830-5212 | 2007-06-15 |
| Find all providers in OAK RIDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.