STATE OF TENNESSEE NPI 1023159993

NPI Information

NPI: 1023159993
Provider Name: STATE OF TENNESSEE

Doing Business As: NE TENNESSEE MOBIL DENTAL UNIT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
1233 SOUTHWEST AVE. EXT.
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 979-3200
Get Directions

STATE OF TENNESSEE is a public health or welfare in Johnson City, TN. STATE OF TENNESSEE NPI is 1023159993. The provider is registered as an organization entity type.
The provider Is Doing Business As Ne Tennessee Mobil Dental Unit.

The provider's business location address is:

1233 SOUTHWEST AVE. EXT.
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 979-3200
Fax: (423) 979-3267

The provider's authorized official is Fred Adans .
The authorized official title is Regional Director and has the following contact phone number (423) 979-3200.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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