Mark M. Widloski
DDS | Oral and Maxillofacial Surgeon | 39+ years Exp
1505 E Lamar Alexander Pkwy, Maryville
Tennessee, 37804-5131
865-983-8630 865-983-3616
Maps & DirectionsMark M. Widloski is a Maryville, Tennessee based Oral and Maxillofacial Surgeon with
39 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Medical College Of Wisconsin in 1986. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mark M. Widloski is
DS4711 for Oral and Maxillofacial Surgery in Tennessee. His current practice location is
1505 E Lamar Alexander Pkwy, Maryville. Patients can reach him at
865-983-8630.
Mark M. Widloski 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 Profile:
Mark M. Widloski speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mark M. Widloski |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS |
| Experience: | 39+ years |
| Medical School Attended: | Medical College Of Wisconsin |
| Graduation Year: | 1986 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1505 E Lamar Alexander Pkwy, Maryville,
Tennessee, 37804-5131 |
| Phone: | 865-983-8630 |
| Fax: | 865-983-3616 |
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 are as mentioned below.
| PAC ID: | 4981733391 |
| Enrollment ID: | I20100525000036 |
| NPI Number: | 1285631135 |
| NPI Enumeration Date: | 07 Jul, 2005 |
| NPI Last Update On: | 10 Oct, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark M. Widloski are as mentioned below.
| License Number | Specialization | State | Status | |
| DS4711 | Oral and Maxillofacial Surgery | Tennessee | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mark M. Widloski is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| East Tennessee Oral And Maxillofacial Surgery, Pc (9234103359) | 4 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark M. Widloski such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3225440 | 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: | 1505 E Lamar Alexander Pkwy,
Maryville, Tennessee |
| Zip: | 37804-5131 |
| Phone Number: | 865-983-8630 |
| Fax Number: | 865-983-3616 |
Patients can reach Mark M. Widloski at
1505 E Lamar Alexander Pkwy, Maryville, Tennessee or can
call to book an appointment on 865-983-8630.
Comments/ Reviews:
Read all the reviews posted for Mark M. Widloski below. You may also share your own experience with Mark M. Widloski. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.