# APPALACHIAN DENTAL GROUP PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700303922
- **Authorized official:** DR. ANGEL MULLINS DDS (DENTIST)
- **Authorized official phone:** (423) 247-7741

## Contact information

- **Practice address:** 613 WATAUGA ST, STE C, D, & E, KINGSPORT, TN 37660-4429
- **Practice address phone:** (423) 247-7741
- **Mailing address:** 550 BALLARDS PRIVATE DR, BLOUNTVILLE, TN 37617-5200
- **Mailing address phone:** (423) 323-2967

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2017
- **Last updated:** 07/21/2022