person
Mark M. Widloski, DDS
Oral and Maxillofacial Surgery (Dentist) in Maryville, Tennessee
NPI 1285631135

Mark M. Widloski is a Oral and Maxillofacial Surgery (Dentist) based in Maryville, TN and is specialized in Oral and Maxillofacial Surgery. Mark M. Widloski practices in Maryville, TN and has the professional credentials of DDS. The NPI Number for Mark M. Widloski is 1285631135 and holds a License No. DS4711 (Tennessee).

The current practice location address for Mark M. Widloski is 1505 E Lamar Alexander Pkwy, Maryville, TN and can be reached out via phone at 865-983-8630 and via fax at 865-983-3616.

Location: 1505 E Lamar Alexander Pkwy, Maryville, TN, 37804-5131
person
Provider Profile Details
NPI Number
1285631135
Provider Name
Mark M. Widloski
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1505 E Lamar Alexander Pkwy, Maryville, TN, 37804-5131
Phone Number
865-983-8630
Fax Number
865-983-3616
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3225440 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
865-983-3616
person
Provider Business Mailing Address Details
Address
1505 E Lamar Alexander Pkwy
City
State
Zip
37804-5131
Phone Number
865-983-8630
Fax Number
865-983-3616
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
DS4711 (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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