Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK M. WIDLOSKI, DDS
ActiveMARK M. WIDLOSKI, DDS is a Oral & Maxillofacial Surgery healthcare provider located in MARYVILLE, Tennessee. NPI 1285631135 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MARYVILLE, TN
Registration Details
- NPI Number
- 1285631135
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2005 (21.076604390415 yrs)
- Last Updated
- Oct 10, 2011
- License
-
DS4711 (TN)
Practice Information
- Address
-
1505 E LAMAR ALEXANDER PKWYMARYVILLE, TN, 378045131Browse TN providers · Browse ZIP 37804
- Phone
- 8659838630
- Fax
- 8659833616
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in MARYVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| WAYNE R. WITT | DDS | 1295732402 |
| JAMES HOWARD MANN JR. | DDS | 1639176399 |
| CHARLES HARTWELL SHANKS | D.D.S. | 1558359695 |
| DR. TROY RANDALL NAPIER | DMD | 1689657108 |
| DR. TIMOTHY P MCCONNELL | DDS | 1821071341 |
| DR. OTTO W SLATER | DDS | 1427031947 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.