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East Tennessee Oral & Maxillofacial Surgery, Pc
Oral and Maxillofacial Surgery (Dentist) in Cleveland, Tennessee
NPI 1497065494

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 Cleveland, TN. The NPI Number for East Tennessee Oral & Maxillofacial Surgery, Pc is 1497065494 and holds a License No. 4711 (Tennessee).

The current practice location address for East Tennessee Oral & Maxillofacial Surgery, Pc is 2253 Chambliss Ave Nw, Cleveland, TN and can be reached out via phone at 423-709-0400 and via fax at 423-709-0401.

Location: 2253 Chambliss Ave Nw, Cleveland, TN, 37804-5131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497065494
Provider Name
East Tennessee Oral & Maxillofacial Surgery, Pc
Credential
Provider Entity Type
Organization
Address
2253 Chambliss Ave Nw, Cleveland, TN, 37804-5131
Phone Number
423-709-0400
Fax Number
423-709-0401
Provider Enumeration Date
10/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2253 Chambliss Ave Nw
City
Cleveland
State
Tennessee
Zip
37311-3861
Phone Number
423-709-0400
Fax Number
423-709-0401
person
Provider Business Mailing Address Details
Address
2253 Chambliss Ave Nw
City
Cleveland
State
Tennessee
Zip
37311-3861
Phone Number
423-709-0400
Fax Number
423-709-0401
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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