Organization · Type 2 NPI
East Tennessee Oral & Maxillofacial Surgery, PC
Oral and Maxillofacial Surgery (Dentist) · Oak Ridge, TN
Practice location
700 S Illinois Ave, Bldg A, Suite 104
Oak Ridge, TN 37830-7900
Fax (865) 482-2636
Mailing address
1505 E Lamar Alexander Pkwy
Maryville, TN 37804-5131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 4711 (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.
Other oral and maxillofacial surgery (dentist) providers in Oak Ridge
About NPI 1306156302
East Tennessee Oral & Maxillofacial Surgery, PC's National Provider Identifier is 1306156302, issued on Oct 12, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Oak Ridge, TN. The record was last updated on Nov 18, 2010.