Mark M. Widloski, DDS is an oral and maxillofacial surgery dentist in Maryville, TN with 38 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in 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. Mark M. Widloski, DDS NPI is 1285631135. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:1986
The provider's business location address is:
1505 E LAMAR ALEXANDER PKWY
MARYVILLE, TN
ZIP 37804-131
Phone: (865) 983-8630
Fax: (865) 983-3616
The NPI 1285631135 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/7/2005 and was last updated on 10/10/2011.