Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1986
Also: ORAL SURGERY
NPI: 1285631135
Practice Locations (2)
EAST TENNESSEE ORAL AND MAXILLOFACIAL SURGERY, PC
3228 TAZEWELL PIKE
KNOXVILLE, TN 379182529
8656880410
EAST TENNESSEE ORAL AND MAXILLOFACIAL SURGERY, PC
1505 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 378045131
8659838630
Source: CMS National Downloadable File, September 2026.