East Tennessee Oral & Maxillofacial Surgery, PC
East Tennessee Oral & Maxillofacial Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Athens, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.
- Licensed in
- TN
- In the registry since
- 2010
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
307 Maple StAthens, TN 37303-2957
Phone: (423) 745-8708
Fax: (423) 746-4562
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 4711 (TN) |
|---|
Record details
| NPI number | 1770893778 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Widloski — Owner · (865) 983-8630 |
| NPI enumerated | October 12, 2010 |
| Last updated in NPPES | November 18, 2010 |
| Mailing address | 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 |