Foothills Oral and Maxillofacial Surgery, PC

NPI #1154407088 in Lenoir City, Tennessee

Provider Information

NPI Number
1154407088
Entity Type
Organization
Organization Name
Foothills Oral and Maxillofacial Surgery, PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Oct 31, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
603 HIGHWAY 321 N
Address 2
BLDG. 4, UNIT 20
ZIP Code
37771-6575
Phone
(865) 986-4582

Authorized Official

Name
KEVIN GROSS
Title
DDS/OWNER
Phone
(865) 986-4582

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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