Organization · Type 2 NPI
Knob Creek Oral Clinic
Oral and Maxillofacial Surgery Clinic/Center · Johnson City, TN
NPI number
1497142137
Active
Practice location
2306 Knob Creek Rd, Suite 108
Johnson City, TN 37604-2366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | DS0000009647 (TN) |
Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4 other providers at this address
About NPI 1497142137
Knob Creek Oral Clinic's National Provider Identifier is 1497142137, issued on Apr 21, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Johnson City, TN. The record was last updated on Apr 21, 2015.