Organization
JOHNSON CITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILAM PATEL D.D.S. (OWNER)
(423) 282-0042
Entity
Organization
Contact information
Practice address
1720 W. MARKET ST., JOHNSON CITY, TN 37604-6021
(423) 282-0042
Mailing address
1720 W. MARKET ST., JOHNSON CITY, TN 37604-6021
(423) 282-0042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS4053
TN
1223G0001X
General Practice Dentistry
Primary
DS9209
TN
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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