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East Tennessee Oral And Maxillofacial Surgery, Pc
Oral and Maxillofacial Surgery (Dentist) in Knoxville, Tennessee
NPI 1861701005

East Tennessee Oral And 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 And Maxillofacial Surgery, Pc practices in Knoxville, TN. The NPI Number for East Tennessee Oral And Maxillofacial Surgery, Pc is 1861701005 and holds a License No. 4711 (Tennessee).

The current practice location address for East Tennessee Oral And Maxillofacial Surgery, Pc is 161 Capital Drive, Knoxville, TN and can be reached out via phone at 865-531-3909 and via fax at 865-539-0022.

Location: 161 Capital Drive, Knoxville, TN, 37804-5131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861701005
Provider Name
East Tennessee Oral And Maxillofacial Surgery, Pc
Credential
Provider Entity Type
Organization
Address
161 Capital Drive, Knoxville, TN, 37804-5131
Phone Number
865-531-3909
Fax Number
865-539-0022
Provider Enumeration Date
10/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
161 Capital Drive
City
Knoxville
State
Tennessee
Zip
37922-3357
Phone Number
865-531-3909
Fax Number
865-539-0022
person
Provider Business Mailing Address Details
Address
161 Capital Drive
City
Knoxville
State
Tennessee
Zip
37922-3357
Phone Number
865-531-3909
Fax Number
865-539-0022
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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