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Search › Tennessee › 1223S0112X

Graysen Bloom, DDS

NPI 1447900402 · on the registry since 2022

Practice

Address
1858 Crest Rd
Maryville, TN 37804
Phone
(865) 977-7110
Organisation at this address
Southeast Oral Surgery Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 11548 Chapman Hwy, Seymour, TN
  • 7761 Dannaher Dr, Powell, TN
  • 550 Town Creek Rd E Ste 102, Lenoir City, TN
  • 130 Mabry Hood Rd Ste 105, Knoxville, TN

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee