Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Simple Smiles, PC

Organization Dentist · NPI 1336893163

Simple Smiles, PC is a Dentist in Johnson City, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

712 W Walnut St
Johnson City, TN 37604-6524
Phone: (423) 218-0968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X
Endodontics Taxonomy 1223E0200X
Periodontics Taxonomy 1223P0300X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1336893163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ben Cutler — Secretary · (607) 743-9474
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address296 S Main St Ste 300, Alpharetta, GA 30009-1973

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