Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Sophisticated Smiles
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
189 CORPORATE DR STE 20, JOHNSON CITY, TN 37604-2385
(423) 928-8359
Mailing address
189 CORPORATE DR STE 20, JOHNSON CITY, TN 37604-2385
(423) 928-8359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
03/24/2026
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