L Alan Bacon Dds Pc & John Collins Dds Pc in Bristol - Oral And Maxillofacial Surgery
L Alan Bacon Dds Pc & John Collins Dds Pc - NPI 1609878388
L Alan Bacon Dds Pc & John Collins Dds Pc is a Oral And Maxillofacial Surgery in Bristol, Tennessee. L Alan Bacon Dds Pc & John Collins Dds Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for L Alan Bacon Dds Pc & John Collins Dds Pc is 1609878388. The last update date is 2012-03-01.
L Alan Bacon Dds Pc & John Collins Dds Pc's current location address is 1 Medical Park Blvd, Bristol, Tennessee. You can contact this provider via phone number 4238446200 and fax number 4238444730. The mailing address for L Alan Bacon Dds Pc & John Collins Dds Pc is 1 Medical Park Blvd, Bristol, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | L Alan Bacon Dds Pc & John Collins Dds Pc |
|---|---|
| Address | 1 Medical Park Blvd, Bristol, Tennessee |
| Phone Number | 4238446200 |
| Fax Number | 4238444730 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Fuller L Donna |
| Telephone Number | 4232243200 |
NPI Number Detail
| NPI Number | 1609878388 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2012-03-01 |
Provider Mailing Address Detail
| Address | 1 Medical Park Blvd |
|---|---|
| City | Bristol |
| State | Tennessee (TN) |
| Post Code | 376207430 |
| Phone Number | 4238446200 |
| Fax Number | 4238444730 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1295736569 | TN | CARL W EILERS, JR IND NPI | |
| 1295736304 | TN | L ALAN BACON IND. NPI | |
| 1023019254 | TN | JOHN R COLLINS IND NPI | |
| 1154322451 | TN | MICHAEL L HAMLIN IND. NPI |
Post Comment/ Review Below
What is the unique provider identifier assigned to L Alan Bacon Dds Pc & John Collins Dds Pc?
The L Alan Bacon Dds Pc & John Collins Dds Pc has been issued the NPI (National Provider Identifier) 1609878388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where L Alan Bacon Dds Pc & John Collins Dds Pc is physically located?
The L Alan Bacon Dds Pc & John Collins Dds Pc is situated at the following address: 1 Medical Park Blvd, Bristol, TN 376207430.
What is the L Alan Bacon Dds Pc & John Collins Dds Pc's specialty and taxonomy code?
The L Alan Bacon Dds Pc & John Collins Dds Pc's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609878388 to L Alan Bacon Dds Pc & John Collins Dds Pc?
The L Alan Bacon Dds Pc & John Collins Dds Pc received its 1609878388 assignment from the Centers for Medicare & Medicaid Services on 2005-08-12.
As of what date were the details related to L Alan Bacon Dds Pc & John Collins Dds Pc most recently updated or revised?
The information pertaining to L Alan Bacon Dds Pc & John Collins Dds Pc, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-01.