East Tennessee Oral & Maxillofacial Surgery, Pc

LBN: East Tennessee Oral & Maxillofacial Surgery, Pc
East Tennessee Oral & Maxillofacial Surgery, Pc is an health care organization with primary practice located at 700 S Illinois Ave Bldg A, Suite 104, Oak Ridge TN 37830-7900. 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 & Maxillofacial Surgery, Pc can be contacted via phone (865) 482-2600, or through Widloski, Mark M via phone (865) 983-8630.

Contact Information

Primary practice address
700 S Illinois Ave Bldg A, Suite 104 Oak Ridge TN 37830-7900
Phone: (865) 482-2600
Fax: (865) 482-2636
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 1306156302
LBN Legal business name East Tennessee Oral & 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 12th, 2010
Last updated Nov 18th, 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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