# APPALACHIAN DENTAL ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174977953
- **Authorized official:** SUE ANN COOPER (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (423) 283-4442

## Contact information

- **Practice address:** 801 SUNSET DR, BUILDING A, SUITE 5, JOHNSON CITY, TN 37604-3033
- **Practice address phone:** (423) 283-4442
- **Practice address fax:** (423) 283-3064
- **Mailing address:** 801 SUNSET DR, BUILDING A, SUITE 5, JOHNSON CITY, TN 37604-3033
- **Mailing address phone:** (423) 283-4442
- **Mailing address fax:** (423) 283-3064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2016
- **Last updated:** 04/19/2016