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DR. NICHOLAS JOHN LEDDERHOF BSCH DDS MSC FRCD NPI 1821586793


NPI Information

NPI: 1821586793
Provider Name: DR. NICHOLAS JOHN LEDDERHOF, BSCH, DDS, MSC, FRCD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1930 ALCOA HWY. MEDICAL BUILDING A, SUITE 335
KNOXVILLE, TN
ZIP 37920
Phone: (865) 305-9022
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DR. Nicholas John Ledderhof, BSCH, DDS, MSC, FRCD is an oral maxillofacial surgery in Knoxville, TN. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Nicholas John Ledderhof, BSCH, DDS, MSC, FRCD NPI is 1821586793. 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:

1930 ALCOA HWY. MEDICAL BUILDING A, SUITE 335
KNOXVILLE, TN
ZIP 37920-514
Phone: (865) 305-9022
Fax: (865) 305-9026

The NPI 1821586793 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 4/26/2018 and was last updated on 11/21/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2204E00000XOral & Maxillofacial Surgery88428Foreign CountryYes

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

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.