East Tennessee Oral & Maxillofacial Surgery, PC
NPI 1225348220ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Knoxville, TN
Dentist, Oral and Maxillofacial Surgery in Knoxville, Tennessee, registered in NPPES in October 2010. The authorized official on file is Mark M. Widloski, DDS, Owner.
Overview
| NPI | 1225348220 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2010 |
| Last updated in NPPES | Nov 18, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 4711 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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