Vista Ridge Dental Arts Studio, Llc

LBN: Vista Ridge Dental Arts Studio, Llc
Vista Ridge Dental Arts Studio, Llc is an health care organization with primary practice located at 108 W 10Th Ave , Johnson City TN 37604-3800. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Vista Ridge Dental Arts Studio, Llc can be contacted via phone (423) 979-1800, or through Moody, Amy Herron via phone (804) 979-1800.

Contact Information

Primary practice address
108 W 10Th Ave Johnson City TN 37604-3800
Fax: (423) 979-1802
Website:
Authorized official contact:
Name: Moody, Amy Herron Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 10324 Tennessee

Profile Details

NPI number 1154837292
LBN Legal business name Vista Ridge Dental Arts Studio, Llc
DBA Doing business as
Authorized official Moody, Amy Herron Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2017
Last updated Dec 27th, 2017 - about 7 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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