L ALAN BACON DDS PC & JOHN COLLINS DDS PC NPI 1972504389

NPI Details

L ALAN BACON DDS PC & JOHN COLLINS DDS PC is an oral and maxillofacial surgery dentist in Kingsport, TN. The provider is an oral and maxillofacial surgery dentist specialized in 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 1972504389. 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:

117 W SEVIER AVE
SUITE 220
KINGSPORT, TN
ZIP 37660-799
Phone: (423) 224-3200
Fax: (423) 224-3208

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 8/9/2005 and was last updated on 3/1/2012.

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:

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