East Tennessee Oral & Maxillofacial Surgery, Pc is a Oral and Maxillofacial Dental Clinic in Maryville, Tennessee. It is located at 1505 E Lamar Alexander Pkwy, Maryville, TN and its contact number is 865-983-8630. The authorized person for East Tennessee Oral & Maxillofacial Surgery, Pc is Dr. Mark M. Widloski
who is Owner/surgeon of the clinic and their contact number is 865-983-8630. The primary license number for East Tennessee Oral & Maxillofacial Surgery, Pc is DS1794 (Oral and Maxillofacial Surgery) in Tennessee. East Tennessee Oral & Maxillofacial Surgery, Pc Clinic deals with 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.
Complete Clinic Profile:
East Tennessee Oral & Maxillofacial Surgery, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
East Tennessee Oral & Maxillofacial Surgery, Pc
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
1505 E Lamar Alexander Pkwy, Maryville, Tennessee, 37804-5131
Phone:
865-983-8630
Fax:
865-981-4914
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Mark M. Widloski
Position:
Owner/surgeon
Contact Number:
865-983-8630
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for East Tennessee Oral & Maxillofacial Surgery, Pc clinic are as mentioned below.
NPI Number:
1174624498
NPI Enumeration Date:
26 Sep, 2006
NPI Last Update On:
18 Nov, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Tennessee Oral & Maxillofacial Surgery, Pc are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
DS1794
Tennessee
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3205757
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
East Tennessee Oral & Maxillofacial Surgery, Pc 1505 E Lamar Alexander Pkwy, Maryville, Tennessee
Zip:
37804-5131
Phone Number:
865-983-8630
Fax Number:
865-981-4914
Patients can reach East Tennessee Oral & Maxillofacial Surgery, Pc at 1505 E Lamar Alexander Pkwy, Maryville, Tennessee or can call to book an appointment on 865-983-8630. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.