EAST TENNESSEE ORAL & MAXILLOFACIAL SURGERY, PC


Address: 1551 E Morris Blvd, Morristown, TN 37813-5729
Phone: 4235878383

EAST TENNESSEE ORAL & MAXILLOFACIAL SURGERY, PC (NPI# 1942510946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942510946
Entity Type Organization
Organization Name EAST TENNESSEE ORAL & MAXILLOFACIAL SURGERY, PC
Practice Address 1551 E Morris Blvd
Morristown
TN 37813-5729
Mailing Address 1505 E Lamar Alexander Pkwy
Maryville
TN 37804-5131
Practice Telephone 4235878383
Practice Fax Number 4235878382
Mailing Telephone 8659838630
Mailing Fax Number 8659814914
Enumeration Date 2010-10-12
Last Update Date 2010-11-18
Authorized Official Name DR. MARK M WIDLOSKI (OWNER)
Authorized Official Telephone 8659838630
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
4711 TN Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770893778 East Tennessee Oral & Maxillofacial Surgery, PC Dentist 307 Maple St, Athens, TN 37303-2957 2010-10-12
1306156302 East Tennessee Oral & Maxillofacial Surgery, PC Dentist 700 S Illinois Ave, Bldg A, Suite 104, Oak Ridge, TN 37830-7900 2010-10-12
1043520042 East Tennessee Oral & Maxillofacial Surgery, PC Dentist 1112 Medical Park Ct, Sevierville, TN 37862-6933 2010-10-12
1225348220 East Tennessee Oral & Maxillofacial Surgery, PC Dentist 2939 Essary Rd, Suite 1, Knoxville, TN 37918-2464 2010-10-12
1497065494 East Tennessee Oral & Maxillofacial Surgery, PC Dentist 2253 Chambliss Ave Nw, Suite 403, Cleveland, TN 37311-3861 2010-10-12
1033429030 East Tennessee Oral & Maxillofacial Surgery, PC Dentist 703 K St, Greeneville, TN 37745-6246 2010-10-12
1174624498 East Tennessee Oral & Maxillofacial Surgery, PC Dentist 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 2006-09-26

Office Location

Street Address 1551 E MORRIS BLVD
City MORRISTOWN
State TN
Zip Code 37813-5729

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023251642 Bradley S Johnson Dentist 1551 E Morris Blvd, Morristown, TN 37813-5729 2009-04-13
1811290497 Brad S. Johnson, Dmd, Pllc Dentist 1551 E Morris Blvd, Morristown, TN 37813-5729 2010-12-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902393291 Champion Physical Therapy LLC Halls Clinic/Center 1125 East Morris Blvd., Morristown, TN 37813 2018-04-23
1013404409 Champion Physical Therapy LLC Halls Clinic/Center 1125 East Morris Blvd, Morristown, TN 37813 2018-04-20
1427550847 Sherri Elizabeth Carlisle Nurse Practitioner 420 W Morris Blvd Ste 410, Morristown, TN 37813 2018-03-01
1992100770 Dan-huy Nguyen Pharmacist 251 S. Cumberland St, Morristown, TN 37813 2014-10-23
1427311299 Covenant Homecare Durable Medical Equipment & Medical Supplies 1611 West Morris Blvd, Morristown, TN 37813 2012-06-18
1194032730 Morristown Pharmacist Group, LLC Dba M.d. Pharmacy Pharmacy 1467 W Morris Blvd, Morristown, TN 37813 2010-09-02
1750512653 Tiffany Colleen Hopkins Speech-Language Pathologist 958 Trade St Ste 102, Morristown, TN 37813 2009-07-27
1699934711 Kidney Center Pllc Internal Medicine 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 2008-06-04
1154591055 Kristal Lay Hurst Nurse Practitioner 1079 E Morris Blvd, Morristown, TN 37813 2008-03-06
1013002468 Daniel James Martin Physician Assistant 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 2006-10-03
Find all providers in zip 37813

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790271641 Morristown Oral Surgery & Implantology Associates LLC Dentist 290 Madison Ave Ste 1, Morristown, NJ 07960-7401 2018-07-03
1023251642 Bradley S Johnson Dentist 1551 E Morris Blvd, Morristown, TN 37813-5729 2009-04-13
1689744088 James Chu-wen Fang Dentist 290 Madison Ave Ste 1a, Morristown, NJ 07960-7401 2006-11-09
1306801006 Gregory John Keiser Dentist 290 Madison Avenue, Morristown, NJ 07960 2006-04-18
1811290497 Brad S. Johnson, Dmd, Pllc Dentist 1551 E Morris Blvd, Morristown, TN 37813-5729 2010-12-21
1659555613 Morristown Oral & Maxillofacial Surgery Associates Dentist 290 Madison Ave, Morristown, NJ 07960-7400 2007-12-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396199055 Daniel Coke Dentist 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 2016-04-19
1467835140 Amir Victor Francis Dentist 1100 Poplar View Ln N Ste 1, Collierville, TN 38017-9323 2015-06-30
1376939645 Matthew Breit Dentist 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 2015-04-13
1720472855 Charles Baker Felts Iv Dentist 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2193 2015-03-26
1073910725 Nashville Oral Facial Surgery, Pllc Dentist 2400 Patterson St Ste 316, Nashville, TN 37203-6510 2014-11-24
1194122135 Samuel Edward Molind Dentist 210 Memorial Dr, Bristol, TN 37620-1704 2014-11-19
1780094052 Andrew Ferraro Dentist 2964 Miller Place Way, Knoxville, TN 37924-1673 2014-05-07
1144649393 Thomas Bailey Dentist 3000 Stansberry Ln Ste 101, Franklin, TN 37069-5125 2014-04-15
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1427471382 Oral & Maxillofacial Surgery Clinic Inc. Dentist 910 Madison Ave Ste 710, Memphis, TN 38103-3453 2014-01-29
Find all providers with the same taxonomy

Competitor

Search similar providers

City MORRISTOWN
Zip Code 37813

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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