Southeast Oral Surgery PC

Public-record details

Address

1858 Crest Rd, Maryville, TN 37804

Phone

(865) 977-7110

Listed under

Oral & maxillofacial surgeons, Specialty practices

NPI

1184733446

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Oral and Maxillofacial Surgery (1223S0112X)

Authorized official

Timothy McConnell, DDS, Ceo

NPI first issued

Aug 30, 2006

NPI record last updated

Apr 15, 2009

NPI 1184733446 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Oral and maxillofacial surgeons are trained in surgery of the mouth and jaws, including placing implants, extractions, bone grafts and sinus lifts, and in anesthesia. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1184733446 in the official registry ↗