East Tennessee Oral And Maxillofacial Surgery, Pc

LBN: East Tennessee Oral And Maxillofacial Surgery, Pc
East Tennessee Oral And Maxillofacial Surgery, Pc is an health care organization with primary practice located at 161 Capital Drive Suite102, Knoxville TN 37922-3357. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. East Tennessee Oral And Maxillofacial Surgery, Pc can be contacted via phone (865) 531-3909, or through Widloski, Mark M. via phone (865) 983-8630.

Contact Information

Primary practice address
161 Capital Drive Suite102 Knoxville TN 37922-3357
Phone: (865) 531-3909
Fax: (865) 539-0022
Website:
Map and Directions
Authorized official contact:
Name: Widloski, Mark M. Doctor of Dental Surgery (DDS)
Phone: (865) 983-8630

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4711 Tennessee

Profile Details

NPI number 1861701005
LBN Legal business name East Tennessee Oral And Maxillofacial Surgery, Pc
DBA Doing business as
Authorized official Widloski, Mark M. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2010
Last updated Nov 29th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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