Organization · Type 2 NPI

East Tennessee Oral & Maxillofacial Surgery, PC

Oral and Maxillofacial Surgery (Dentist) · Cleveland, TN

NPI number 1497065494 Active

Practice location

2253 Chambliss Ave NW, Suite 403
Cleveland, TN 37311-3861

Fax (423) 709-0401

Mailing address

1505 E Lamar Alexander Pkwy
Maryville, TN 37804-5131

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X4711 (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

Other oral and maxillofacial surgery (dentist) providers in Cleveland

See all in Cleveland →

About NPI 1497065494

East Tennessee Oral & Maxillofacial Surgery, PC's National Provider Identifier is 1497065494, issued on Oct 12, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cleveland, TN. The record was last updated on Nov 18, 2010.