L ALAN BACON DDS PC & JOHN COLLINS DDS PC NPI 1609878388

NPI Information

L ALAN BACON DDS PC & JOHN COLLINS DDS PC is an oral and maxillofacial surgery dentist in Bristol, TN. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. L ALAN BACON DDS PC & JOHN COLLINS DDS PC NPI is 1609878388. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Associated Oral And Maxillofacial Surgeons.

The provider's business location address is:

1 MEDICAL PARK BLVD
SUITE 440 EAST
BRISTOL, TN
ZIP 37620-430
Phone: (423) 844-6200
Fax: (423) 844-4730

The provider's authorized official is Donna L Fuller .
The authorized official title is Office Manager and has the following contact phone number (423) 224-3200.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 3/1/2012.

Taxonomy Codes

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