DR. MICHAEL DEAN WOOTEN D.D.S. NPI 1194845982

NPI Information

NPI: 1194845982
Provider Name: DR. MICHAEL DEAN WOOTEN, D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
6207 HIGHLAND PLACE WAY
SUITE 207
KNOXVILLE, TN
ZIP 37919
Phone: (865) 584-6207
Get Directions

DR. Michael Dean Wooten, D.D.S. is an oral and maxillofacial surgery dentist in Knoxville, TN. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Michael Dean Wooten, D.D.S. NPI is 1194845982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6207 HIGHLAND PLACE WAY
SUITE 207
KNOXVILLE, TN
ZIP 37919-027
Phone: (865) 584-6207
Fax: (865) 934-0080

The NPI 1194845982 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS4213	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T74434	MEDICARE UPIN	TENNESSEE
2	3225414	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE#
3	4000149	OTHER	TENNESSEE	BCBS PROVIDER #
4	3225414	MEDICAID	TENNESSEE
5	DS4213	OTHER	TENNESSEE	STATE LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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