East Tennessee Oral & Maxillofacial Surgery, Pc

NPI 1033429030 - Dentist - 1223S0112X

NPI Details
NPI 1033429030
Enumeration Date 10/12/2010
Last Updated 11/18/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARK M MARK
Position OWNER
Phone (423) 639-6769
Fax (423) 638-3635
Practice Location
703 K ST
GREENEVILLE TN, 37745-6246, US
Phone (423) 639-6769
Fax (423) 638-3635
Business Location
1505 E LAMAR ALEXANDER PKWY
MARYVILLE TN, 37804-5131, US
Phone (865) 983-8630
Fax (865) 981-4914
Toxanomy
Taxonomy Code 1223S0112X
License State Tennessee
License Number 4711
Remove 1033429030 NPI Number
 

According to our database, East Tennessee Oral & Maxillofacial Surgery, Pc NPI is 1033429030, taxonomy code is 1223S0112X and license number is 4711, license state is located at Tennessee. East Tennessee Oral & Maxillofacial Surgery, Pc physically located at 703 K St, Greeneville TN, 37745-6246. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1033429030 NPI number is provided on an as is basis without warranty of any kind. 1033429030 is maintained by the National Plan & Provider Enumeration System. The contents of East Tennessee Oral & Maxillofacial Surgery, Pc are for informational purposes only.