Johnson City Oral and Maxillofacial Surgery, LLC
Johnson City Oral and Maxillofacial Surgery, LLC is an Oral & Maxillofacial Surgery (D.M.D.) in Johnson City, Tennessee. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1021 W Oakland Ave Ste 109Johnson City, TN 37604-2192
Phone: (423) 283-4555
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X |
|---|
Record details
| NPI number | 1720601230 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Sherban — President · (423) 283-4555 |
| NPI enumerated | May 19, 2020 |
| Last updated in NPPES | May 19, 2020 |
| Certification date | May 19, 2020 |
| Mailing address | 1021 W Oakland Ave Ste 109, Johnson City, TN 37604-2192 |