East Tennessee Oral & Maxillofacial Surgery, PC
East Tennessee Oral & Maxillofacial Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Maryville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.
- Licensed in
- TN
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1505 E Lamar Alexander PkwyMaryville, TN 37804-5131
Phone: (865) 983-8630
Fax: (865) 981-4914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence DS1794 (TN) |
|---|
Record details
| NPI number | 1174624498 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Widloski — Owner/Surgeon · (865) 983-8630 |
| NPI enumerated | September 26, 2006 |
| Last updated in NPPES | November 18, 2010 |
| Mailing address | 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 |
Other providers in Maryville
-
Dr. Brock D. Evans, DMD
1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 · (865) 983-8630
-
Dr. Jason Robert Kennedy, DMD
1858 Crest Rd, Maryville, TN 37804-4305 · (865) 977-7110
-
James Howard Mann Jr., DDS
1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 · (865) 983-8630
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Dr. Timothy P McConnell, DDS
1858 Crest Rd, Maryville, TN 37804-4305 · (865) 977-7110