NPI 1720601230

Johnson City Oral and Maxillofacial Surgery, LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Johnson City, TN

Practice location

Address: 1021 W Oakland Ave STE 109, Johnson City, TN 37604-2192
Phone: (423) 283-4555

Authorised official

Name: Matthew Sherban
Title: President
Phone: (423) 283-4555

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Tennessee →

Registry record

NPI: 1720601230
Entity type: Organization
NPI issued: 19 May 2020
Record last updated: 19 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.