EAST TENNESSEE ORAL & MAXILLOFACIAL SURGERY, PC

Dentist - Oral and Maxillofacial Surgery

Active Organization
NPI: 1174624498

Practice Address

1505 E LAMAR ALEXANDER PKWY
Maryville, TN 37804

Phone: (865) 983-8630

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes DS1794 (TN)

Frequently Asked Questions

NPI 1174624498 is the National Provider Identifier for EAST TENNESSEE ORAL & MAXILLOFACIAL SURGERY, PC, a Dentist - Oral and Maxillofacial Surgery provider located in Maryville, TN. This NPI was enumerated on September 26, 2006.

Quick Facts

NPI
1174624498
Type
Organization
Enumerated
Sep 26, 2006
Last Updated
Nov 18, 2010

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