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DR. PAUL THOMAS MCCORD DDS NPI 1366435711


NPI Information

NPI: 1366435711
Provider Name: DR. PAUL THOMAS MCCORD, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
2222 CHAMBLISS AVE NW
CLEVELAND, TN
ZIP 37311
Phone: (423) 479-8544
Get Directions

DR. Paul Thomas Mccord, DDS is an oral and maxillofacial surgery dentist in Cleveland, TN with 46 years of experience. 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. Paul Thomas Mccord, DDS NPI is 1366435711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1978

The provider's business location address is:

2222 CHAMBLISS AVE NW
CLEVELAND, TN
ZIP 37311-874
Phone: (423) 479-8544
Fax: (423) 479-1444

The NPI 1366435711 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 8/31/2005 and was last updated on 7/5/2017.


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
11223P0106XDentistOral and Maxillofacial PathologyDS3297TENNESSEENo
21223S0112XDentistOral and Maxillofacial Surgery3297TENNESSEEYes

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
1439950OTHERTENNESSEEUNITED CONCORDIA
23222258MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
32009217OTHERTENNESSEEBCBS TN
4T74063MEDICARE UPINTENNESSEE

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.