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JOHNSON CITY SMILES LLC NPI 1255997359


NPI Information

NPI: 1255997359
Provider Name: JOHNSON CITY SMILES, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2800 PEOPLES ST STE 90
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 928-0345
Get Directions

JOHNSON CITY SMILES, LLC 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 SMILES, LLC NPI is 1255997359. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2800 PEOPLES ST STE 90
JOHNSON CITY, TN
ZIP 37604-158
Phone: (423) 928-0345
Fax: (423) 926-4358

The provider's authorized official is Mark D Damron .
The authorized official title is Sole Member and has the following contact phone number (423) 928-0345.

The enumeration date for this NPI number is 5/14/2019 and was last updated on 5/14/2019.


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 PracticeYes

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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