Michael Dean Wooten in Knoxville - Oral And Maxillofacial Surgery

Michael Dean Wooten - NPI 1194845982

Michael Dean Wooten is a Oral And Maxillofacial Surgery in Knoxville, Tennessee. Michael Dean Wooten practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Michael Dean Wooten is 1194845982. The last update date is 2007-07-09.

Michael Dean Wooten's current location address is 6207 Highland Place Way, Knoxville, Tennessee. You can contact this provider via phone number 8655846207 and fax number 8659340080. The mailing address for Michael Dean Wooten is 6207 Highland Place Way, Knoxville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Dean Wooten
Address 6207 Highland Place Way, Knoxville, Tennessee
Phone Number 8655846207
Fax Number 8659340080
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1194845982
Provider Enumeration Date 2007-03-29
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 6207 Highland Place Way
City Knoxville
State Tennessee (TN)
Post Code 379194027
Phone Number 8655846207
Fax Number 8659340080

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DS4213
Definition:
The specialty of dentistry which includes 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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4000149 TN BCBS PROVIDER #
3225414 TN --
DS4213 TN STATE LICENSE #

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FAQs about Michael Dean Wooten

What is the unique identifier code issued to Michael Dean Wooten by the Centers for Medicare & Medicaid Services?

The Michael Dean Wooten has been assigned the NPI (National Provider Identifier) 1194845982. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Michael Dean Wooten is physically located?

The Michael Dean Wooten is physically situated at the following address: 6207 Highland Place Way, Knoxville, TN, 379194027.

What is Michael Dean Wooten's area of expertise and its corresponding taxonomy classification?

The Michael Dean Wooten's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.

When did the Michael Dean Wooten receive its 1194845982?

The Michael Dean Wooten was issued its 1194845982 on 2007-03-29, which is the date when the organization was assigned this unique identifier.

When was the Michael Dean Wooten's information last updated?

The Michael Dean Wooten's information was last updated on 2007-07-09.

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