Knob Creek Oral Clinic

LBN: Knob Creek Oral Clinic
Knob Creek Oral Clinic is an health care organization with primary practice located at 2306 Knob Creek Rd Suite 108, Johnson City TN 37604-2366. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Knob Creek Oral Clinic can be contacted via phone (423) 467-5009, or through Prince, Sandford W via phone (423) 467-5010.

Contact Information

Primary practice address
2306 Knob Creek Rd Suite 108 Johnson City TN 37604-2366
Fax:
Website:
Authorized official contact:
Name: Prince, Sandford W Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X DS0000009647 Tennessee

Profile Details

NPI number 1497142137
LBN Legal business name Knob Creek Oral Clinic
DBA Doing business as
Authorized official Prince, Sandford W Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2015
Last updated Apr 21st, 2015 - about 9 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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