East Tennessee Oral & Maxillofacial Surgery, PC
NPI 1497065494 · Oral and Maxillofacial Surgery (Dentist) · Cleveland, TN
East Tennessee Oral & Maxillofacial Surgery, PC is a Oral and Maxillofacial Surgery (Dentist) organization in Cleveland, TN (NPI 1497065494).
Provider details
- NPI number
- 1497065494
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Mark Widloski, Owner(865) 983-8630
- License
- 4711 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-10-12
- Last updated
- 2010-11-18
Frequently asked questions
- What is East Tennessee Oral & Maxillofacial Surgery, PC's NPI number?
- East Tennessee Oral & Maxillofacial Surgery, PC's National Provider Identifier (NPI) is 1497065494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Tennessee Oral & Maxillofacial Surgery, PC?
- East Tennessee Oral & Maxillofacial Surgery, PC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is East Tennessee Oral & Maxillofacial Surgery, PC located?
- East Tennessee Oral & Maxillofacial Surgery, PC's practice location on file with NPPES is 2253 Chambliss Ave Nw, Cleveland, TN 37311-3861.
- What is East Tennessee Oral & Maxillofacial Surgery, PC's phone number?
- The practice phone number listed in the NPPES registry for East Tennessee Oral & Maxillofacial Surgery, PC is (423) 709-0400.
- Who is the authorized official for East Tennessee Oral & Maxillofacial Surgery, PC?
- The authorized official listed on East Tennessee Oral & Maxillofacial Surgery, PC's NPPES record is Mark Widloski, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Tennessee Oral & Maxillofacial Surgery, PC's NPI active?
- Yes — East Tennessee Oral & Maxillofacial Surgery, PC's NPI (1497065494) is active in the NPPES registry as of the last update on 2010-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.