Northeast Tn Public Health in Johnson City - Dental
Northeast Tn Public Health - NPI 1013991686
Northeast Tn Public Health is a Dental in Johnson City, Tennessee. Northeast Tn Public Health practices all healthcare services and medical treatments related to Dental. The NPI Number for Northeast Tn Public Health is 1013991686. The last update date is 2020-08-22.
Northeast Tn Public Health's current location address is 1233 Southwest Ave Ext, Johnson City, Tennessee. You can contact this provider via phone number 4239793200 and fax number 4239793267. The mailing address for Northeast Tn Public Health is 1233 Southwest Ave Ext, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Tn Public Health |
|---|---|
| Address | 1233 Southwest Ave Ext, Johnson City, Tennessee |
| Phone Number | 4239793200 |
| Fax Number | 4239793267 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTAL DIR |
|---|---|
| Authorized Official Name | Vestal B Rebecca |
| Credentials | DDS |
| Telephone Number | 4239793200 |
NPI Number Detail
| NPI Number | 1013991686 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1233 Southwest Ave Ext |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 37604 |
| Phone Number | 4239793200 |
| Fax Number | 4239793267 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3209286 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Northeast Tn Public Health by the Centers for Medicare & Medicaid Services (CMS)?
The Northeast Tn Public Health has been assigned the NPI (National Provider Identifier) 1013991686. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Northeast Tn Public Health's physical address?
The Northeast Tn Public Health is physically located at 1233 Southwest Ave Ext, in the city of Johnson City, TN, with the postal code 37604.
What is Northeast Tn Public Health's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Northeast Tn Public Health is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.
When did the Northeast Tn Public Health receive its 1013991686?
The Northeast Tn Public Health was issued its 1013991686 on 2005-12-06, which is the date when the organization was assigned this unique identifier.
When was the Northeast Tn Public Health's information last updated?
The Northeast Tn Public Health's information was last updated on 2020-08-22.