University Dental Assoc

LBN: Universal Dental Assoc Dso Llc
University Dental Assoc is an health care organization with primary practice located at 712 W Walnut St , Johnson City TN 37604-6524. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Universal Dental Assoc Dso Llc can be contacted via phone (423) 928-5500, or through Langenbrunner, Tonya Lynn via phone (423) 928-5500.

Contact Information

Primary practice address
712 W Walnut St Johnson City TN 37604-6524
Phone: (423) 928-5500
Fax: (423) 929-1505
Website:
Map and Directions
Authorized official contact:
Name: Langenbrunner, Tonya Lynn
Phone: (423) 928-5500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS3637 Tennessee

Profile Details

NPI number 1467758227
LBN Legal business name Universal Dental Assoc Dso Llc
DBA Doing business as University Dental Assoc
Authorized official Langenbrunner, Tonya Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2011
Last updated Aug 1st, 2013 - about 12 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 1467758227 NPPES
Tennessee MEDICAID 3225187
Tennessee Other 12211029

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