| East Tennessee Oral & Maxillofacial Surgery, Pc | |
|
703 K St Greeneville TN 37745-6246 | |
| (423) 639-6769 | |
| (423) 638-3635 |
| Full Name | East Tennessee Oral & Maxillofacial Surgery, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 703 K St, Greeneville, Tennessee |
| Authorized Official Name and Position | Mark M Widloski (OWNER) |
| Authorized Official Contact | 8659838630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice 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 703 K St Greeneville TN 37745-6246 Ph: (423) 639-6769 |
| NPI Number | 1033429030 |
|---|---|
| Provider Enumeration Date | 10/12/2010 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033429030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4711 (Tennessee) | Primary |
Greenville Dental Associates, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1308 Tusculum Blvd., Greeneville, TN 37745 Phone: 423-639-6120 Fax: 423-525-4580 | |
Brad S. Johnson, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 K St, Greeneville, TN 37745 Phone: 423-639-6769 | |
East Tennessee Resource Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4850 E Andrew Johnson Hwy, Greeneville, TN 37745 Phone: 423-787-6532 | |
Tusculum Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Norton Rd, Greeneville, TN 37745 Phone: 423-639-7575 | |
Drs. Mark & Steven Smith Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 N Main St, Greeneville, TN 37745 Phone: 423-639-4000 | |
Dr. Chris Bullington D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1338 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-639-6129 Fax: 423-639-6129 |