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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHNSON CITY ORAL AND MAXILLOFACIAL SURGERY, LLC

Active Organization

JOHNSON CITY ORAL AND MAXILLOFACIAL SURGERY, LLC is a Oral & Maxillofacial Surgery (Physician) organization located in JOHNSON CITY, Tennessee. NPI 1720601230 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · JOHNSON CITY, TN

Registration Details

NPI Number
1720601230
Provider Type
Organization
NPI Issued
May 19, 2020 (6.2700322263233 yrs)
Last Updated
May 19, 2020

Practice Information

Address
1021 W OAKLAND AVE STE 109
JOHNSON CITY, TN, 376042192
Browse TN providers · Browse ZIP 37604
Phone
4232834555
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.