Organization · Type 2 NPI

East Tennessee Oral & Maxillofacial Surgery, PC

Oral and Maxillofacial Surgery (Dentist) · Maryville, TN

NPI number 1174624498 Active

Practice location

1505 E Lamar Alexander Pkwy
Maryville, TN 37804-5131

Call (865) 983-8630 Map

Fax (865) 981-4914

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS1794 (TN)

Oral and Maxillofacial Surgery (Dentist): 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.

5 other providers at this address

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About NPI 1174624498

East Tennessee Oral & Maxillofacial Surgery, PC's National Provider Identifier is 1174624498, issued on Sep 26, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maryville, TN. The record was last updated on Nov 18, 2010.