East Tennessee Oral & Maxillofacial Surgery, Pc

  • 1174624498 NPI Number
  • |
  • Actived: 17 years ago
  • |
East Tennessee Oral & Maxillofacial Surgery, Pc is a health care provider based in Maryville, TN. The NPI Number is 1174624498 and it has been active since 17 years ago. The specialty is Oral and Maxillofacial Surgery, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Oral and Maxillofacial Surgery services, East Tennessee Oral & Maxillofacial Surgery, Pc is an excellent option. We are here to help you get the care you need.

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Overview of East Tennessee Oral & Maxillofacial Surgery, Pc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 09/26/2006
  • Last updated: 11/18/2010

Primary Scrop of Practice

  • Taxonomy Code: 1223S0112X
  • Specialty: Oral and Maxillofacial Surgery
  • License Number: DS1794
  • License State: TN

Provider Mailing Address

  • Address: 1505 E Lamar Alexander Pkwy
    Maryville, TN 37804
  • Phone: 865-983-8630
  • Fax: 865-981-4914

Provider Practice Location

  • Address: 1505 E Lamar Alexander Pkwy
    Maryville, TN 37804
  • Phone: 865-983-8630
  • Fax: 865-981-4914

Authorized Official

  • Name: DR. Mark M. Widloski DDS
  • Position/Title: Owner/surgeon
  • Telephone Number: 865-983-8630

Scope of Practice

  • Taxonomy Code: 1223S0112X
  • Specialty: Oral and Maxillofacial Surgery
  • License Number: DS1794
  • License State: TN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 3205757
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for East Tennessee Oral & Maxillofacial Surgery, Pc?
  • A: The npi number for East Tennessee Oral & Maxillofacial Surgery, Pc is 1174624498.
  • Q: What are East Tennessee Oral & Maxillofacial Surgery, Pc's specialties?
  • A: East Tennessee Oral & Maxillofacial Surgery, Pc's specialties are Oral and Maxillofacial Surgery and different specialities.
  • Q: Where is East Tennessee Oral & Maxillofacial Surgery, Pc business practice location?
  • A: East Tennessee Oral & Maxillofacial Surgery, Pc business practice location is 1505 E Lamar Alexander Pkwy, Maryville, TN 37804.
  • Q: How to contact East Tennessee Oral & Maxillofacial Surgery, Pc?
  • A: You can contact East Tennessee Oral & Maxillofacial Surgery, Pc via 865-983-8630.
  • Q: What is the authorized official for East Tennessee Oral & Maxillofacial Surgery, Pc?
  • A: The authorized office name is DR. Mark M. Widloski DDS with position/title is Owner/surgeon and you can reach the authorized official via phone number 8659838630.
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