Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

East Tennessee Oral & Maxillofacial Surgery, PC

Oral and Maxillofacial Surgery (Dentist) in Sevierville, TN · enumerated 2010 · authorized official Mark Widloski, Owner.

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

National Provider Identifier

1043520042

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Registry record

Entity type Organization (Type 2)

Legal business name East Tennessee Oral & Maxillofacial Surgery, PC

Practice address 1112 Medical Park Ct, Sevierville, TN, 37862

Phone (865) 453-1070

Fax (865) 908-6190

Enumeration date Oct 12, 2010

Last updated in NPPES Nov 18, 2010

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 4711 (TN) Primary

Authorized official

Name Mark Widloski

Title Owner

Phone (865) 983-8630

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for East Tennessee Oral & Maxillofacial Surgery, PC?

The NPI for East Tennessee Oral & Maxillofacial Surgery, PC is 1043520042, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for East Tennessee Oral & Maxillofacial Surgery, PC?

NPPES lists Mark Widloski (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-18.