OrganizationActive
Southeast Oral Surgery PC
NPI 1881992279 · Oral and Maxillofacial Surgery (Dentist) · Knoxville, TN
Provider details
- NPI number
- 1881992279
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Michelle Tracy, Office Manater(865) 977-7110
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 Mabry Hood Rd
Suite 105
Knoxville, TN 37922-2221
Phone: (865) 693-4442
Fax: (865) 977-4132
Street-level locationGet directions
Mailing address
130 Mabry Hood Rd
Knoxville, TN 37922-2221
Registry dates
- Enumerated
- 2011-03-09
- Last updated
- 2011-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.