East Tennessee Oral & Maxillofacial Surgery, Pc - Dental Clinic in Athens, TN

East Tennessee Oral & Maxillofacial Surgery, Pc is a dental clinic (Dentist - Oral And Maxillofacial Surgery) in Athens, Tennessee. The current practice location for East Tennessee Oral & Maxillofacial Surgery, Pc is 307 Maple St, Athens, Tennessee. For appointments, you can reach them via phone at (423) 745-8708. The mailing address for East Tennessee Oral & Maxillofacial Surgery, Pc is 1505 E Lamar Alexander Pkwy, Maryville, Tennessee and phone number is (865) 983-8630.

East Tennessee Oral & Maxillofacial Surgery, Pc is licensed to practice in Tennessee (license number 4711) and its NPI number is 1770893778. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (423) 745-8708.

Contact Information

East Tennessee Oral & Maxillofacial Surgery, Pc
307 Maple St
Athens
TN 37303-2957
(423) 745-8708
(423) 746-4562

Dental Care Clinic Profile

Full NameEast Tennessee Oral & Maxillofacial Surgery, Pc
SpecialityDentist - Oral And Maxillofacial Surgery
Location307 Maple St, Athens, Tennessee
Authorized Official Name and PositionMark M Widloski (OWNER)
Authorized Official Contact8659838630
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
East Tennessee Oral & Maxillofacial Surgery, Pc
1505 E Lamar Alexander Pkwy
Maryville
TN 37804-5131

Ph: (865) 983-8630
East Tennessee Oral & Maxillofacial Surgery, Pc
307 Maple St
Athens
TN 37303-2957

Ph: (423) 745-8708

NPI Details:

NPI Number1770893778
Provider Enumeration Date10/12/2010
Last Update Date11/18/2010

Medical Identifiers

Medical identifiers for East Tennessee Oral & Maxillofacial Surgery, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770893778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 4711 (Tennessee)Primary

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