Boones Creek Dentistry

LBN: Boones Creek Dentistry
Boones Creek Dentistry is an health care organization with primary practice located at 4328 N Roan St , Johnson City TN 37615-4641. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Boones Creek Dentistry can be contacted via phone (423) 282-2441, or through Andrews, Melissa Gail via phone (423) 282-2441.

Contact Information

Primary practice address
4328 N Roan St Johnson City TN 37615-4641
Phone: (423) 282-2441
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Andrews, Melissa Gail
Phone: (423) 282-2441

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1124726724
LBN Legal business name Boones Creek Dentistry
DBA Doing business as
Authorized official Andrews, Melissa Gail
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2023
Last updated Feb 22nd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124726724 NPPES
Tennessee Other 1255828356 DENTAL
Tennessee Other 1326185471 DENTAL
Tennessee Other 1568812691 DENTAL

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