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Active NPI 1659424133 Individual Practitioner Male Practitioner

Dr. Michael Sebourn , DDS

Dentist - General Practice • Greeneville, TN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sebourn, DDS is a registered healthcare professional specializing in Dentist - General Practice in Greeneville, TN. Practice services are available at 810 W CHURCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

810 W Church St

Greeneville, TN 377453285

Telephone 4237981755
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Greeneville, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
18 Specialists

Practicing in Greeneville, TN (2175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 5659

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200045920A (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Laura Freshour , RN

Registered Nurse

NPI 1003956434

Registered Nurse

Heather Laws , RN

Registered Nurse - Community Health

NPI 1043103625

Registered Nurse

Geneva Alexander , RN, BSN

Registered Nurse - Community Health

NPI 1053451542

Registered Nurse, Bachelor of Science in Nursing

Dariane Cobble

Registered Nurse - Community Health

NPI 1093397309
Tracy Southerland , RN

Registered Nurse

NPI 1164562476

Registered Nurse

Tiffany Turner

Registered Nurse - Community Health

NPI 1164941837

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 31, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2016

Registered at 810 W CHURCH ST, GREENEVILLE, TN 377453285 (Tel: 4237981755)

📍
Updated Business Mailing Address May 31, 2016

Registered at 103 SHANE ST, GREENEVILLE, TN 377439203 (Tel: 4055171115)

👤
Provider Name / Credentials Updated May 31, 2016

Recorded as MICHAEL SEBOURN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2016

Dentist (License #5659 in OK)

🟢
Initial NPI Registration & Enumeration January 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659424133
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2007
Last Update: May 31, 2016
Sole Proprietor: No

Mailing Address

103 Shane St

Greeneville, TN 377439203

Phone: 4055171115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.