DR. MICHAEL DEAN WOOTEN (NPI# 1194845982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194845982 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DEAN WOOTEN |
| Credential | D.D.S. |
| Practice Address |
6207 Highland Place Way Suite 207 Knoxville TN 37919-4027 |
| Practice Telephone | 8655846207 |
| Practice Fax Number | 8659340080 |
| Mailing Telephone | 8655846207 |
| Mailing Fax Number | 8659340080 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS4213 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE LICENSE # | DS4213 | 01 |
| TN | 3225414 | 05 | |
| TN | BCBS PROVIDER # | 4000149 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235274796 | Michael B. Wooten | Internal Medicine | 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804-2239 | 2007-02-21 |
| 1750462891 | Michael Anthony Wooten | Chiropractor | 3835 E 7th St, Long Beach, CA 90804-5303 | 2006-10-17 |
| Street Address |
6207 HIGHLAND PLACE WAY SUITE 207 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746927 | Knoxville Oral & Maxillofacial Surgery | Dentist | 6207 Highland Place Way, Knoxville, TN 37919-4027 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780094052 | Andrew Ferraro | Dentist | 2964 Miller Place Way, Knoxville, TN 37924-1673 | 2014-05-07 |
| 1275809394 | William R. High, D.m.d., P.C. | Dentist | 248 North Peters Peters Road, Suite 3, Knoxville, TN 37923 | 2012-03-23 |
| 1861701005 | East Tennessee Oral and Maxillofacial Surgery, PC | Dentist | 161 Capital Drive, Suite102, Knoxville, TN 37922-3357 | 2010-10-06 |
| 1104009646 | Joshua A Campbell | Dentist | 11213 West Point Dr., Knoxville, TN 37934-2838 | 2007-12-06 |
| 1467651745 | Nicole Case Eisenberg | Dentist | 4533 Papermill Road, Knoxville, TN 37909 | 2007-07-16 |
| 1043259906 | Daniel S Read | Dentist | 111 Fox Rd Ste 201, Knoxville, TN 37922-3304 | 2006-06-06 |
| 1366739591 | Nathaniel G Wells | Dentist | 1930 Alcoa Hwy, A-335, Knoxville, TN 37920-1500 | 2011-07-08 |
| 1881992279 | Southeast Oral Surgery PC | Dentist | 130 Mabry Hood Rd, Suite 105, Knoxville, TN 37922-2221 | 2011-03-09 |
| 1225348220 | East Tennessee Oral & Maxillofacial Surgery, PC | Dentist | 2939 Essary Rd, Suite 1, Knoxville, TN 37918-2464 | 2010-10-12 |
| 1952547366 | Southeast Oral Surgery PC | Dentist | 801 W Oldham Ave, Knoxville, TN 37921-2747 | 2009-01-07 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.