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Mark M. Widloski, DDS

Oral and Maxillofacial Surgery (Dentist) in Maryville, TN · enumerated 2005 · practices at East Tennessee Oral & Maxillofacial Surgery, PC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285631135

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Registry record

Entity type Individual (Type 1)
Name Mark M. Widloski
Credential DDS
Sex Male
Practice address 1505 E Lamar Alexander Pkwy, Maryville, TN, 37804
Phone (865) 983-8630
Fax (865) 983-3616
Enumeration date Jul 7, 2005
Last updated in NPPES Oct 10, 2011

Taxonomy & licenses

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License DS4711 (TN) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
3225440 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mark Widloski practice?
The practice location on file with NPPES is in Maryville, TN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mark Widloski?
The National Provider Identifier (NPI) for Mark Widloski is 1285631135, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-10.