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JOHNSON CITY DENTAL NPI 1689056624


NPI Information

NPI: 1689056624
Provider Name: JOHNSON CITY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 44D0873186

Address:
1720 W. MARKET ST.
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 282-0042
Get Directions

JOHNSON CITY DENTAL is a general practice dentist in Johnson City, TN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JOHNSON CITY DENTAL NPI is 1689056624. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1720 W. MARKET ST.
JOHNSON CITY, TN
ZIP 37604-021
Phone: (423) 282-0042

The provider's authorized official is Nilam Patel .
The authorized official title is Owner and has the following contact phone number (423) 282-0042.

The CLIA number assigned to this NPI record is 44D0873186 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/26/2015 and was last updated on 6/26/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDS4053TENNESSEENo
21223G0001XDentistGeneral PracticeDS9209TENNESSEEYes

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: 4/28/2024

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