institution
East Tennessee Oral & Maxillofacial Surgery, Pc
Oral and Maxillofacial Surgery (Dentist) in Maryville, Tennessee
NPI 1174624498

East Tennessee Oral & Maxillofacial Surgery, Pc is a Oral and Maxillofacial Surgery (Dentist) based in Maryville, TN and is specialized in Oral and Maxillofacial Surgery. East Tennessee Oral & Maxillofacial Surgery, Pc practices in Maryville, TN. The NPI Number for East Tennessee Oral & Maxillofacial Surgery, Pc is 1174624498 and holds a License No. DS1794 (Tennessee).

The current practice location address for East Tennessee Oral & Maxillofacial Surgery, Pc is 1505 E Lamar Alexander Pkwy, Maryville, TN and can be reached out via phone at 865-983-8630 and via fax at 865-981-4914. You can also correspond with East Tennessee Oral & Maxillofacial Surgery, Pc through the mailing address at 1505 E LAMAR ALEXANDER PKWY, MARYVILLE, TN - 37804-5131 (mailing address contact number: 865-983-8630).

Location: 1505 E Lamar Alexander Pkwy, Maryville, TN, 37804-5131
institution
Provider Profile Details
NPI Number
1174624498
Provider Name
East Tennessee Oral & Maxillofacial Surgery, Pc
Credential
Provider Entity Type
Organization
Address
1505 E Lamar Alexander Pkwy, Maryville, TN, 37804-5131
Phone Number
865-983-8630
Fax Number
865-981-4914
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3205757 05 TN
institution
Provider Business Practice Location Address Details
Address
1505 E Lamar Alexander Pkwy
City
State
Zip
37804-5131
Phone Number
865-983-8630
Fax Number
865-981-4914
person
Provider Business Mailing Address Details
Address
1505 E Lamar Alexander Pkwy
City
State
Zip
37804-5131
Phone Number
865-983-8630
Fax Number
865-981-4914
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
DS1794 (Tennessee)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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