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East Tennessee Oral & Maxillofacial Surgery, Pc
Oral and Maxillofacial Surgery (Dentist) in Oak Ridge, Tennessee
NPI 1306156302

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 Oak Ridge, TN. The NPI Number for East Tennessee Oral & Maxillofacial Surgery, Pc is 1306156302 and holds a License No. 4711 (Tennessee).

The current practice location address for East Tennessee Oral & Maxillofacial Surgery, Pc is 700 S Illinois Ave, Oak Ridge, TN and can be reached out via phone at 865-482-2600 and via fax at 865-482-2636.

Location: 700 S Illinois Ave, Oak Ridge, TN, 37804-5131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306156302
Provider Name
East Tennessee Oral & Maxillofacial Surgery, Pc
Credential
Provider Entity Type
Organization
Address
700 S Illinois Ave, Oak Ridge, TN, 37804-5131
Phone Number
865-482-2600
Fax Number
865-482-2636
Provider Enumeration Date
10/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 S Illinois Ave
City
Oak Ridge
State
Tennessee
Zip
37830-7900
Phone Number
865-482-2600
Fax Number
865-482-2636
person
Provider Business Mailing Address Details
Address
700 S Illinois Ave
City
Oak Ridge
State
Tennessee
Zip
37830-7900
Phone Number
865-482-2600
Fax Number
865-482-2636
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
4711 (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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