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

Olivia Fast, DMD

Individual provider General Practice Dentistry · NPI 1588407548

Olivia Fast, DMD is a General Practice Dentistry in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

135 Marketplace Blvd Ste 101
Johnson City, TN 37604-8933
Phone: (423) 434-2421
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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 · Licence 12515 (TN)

Record details

NPI number1588407548
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address4121 Bradford Ln, Johnson City, TN 37601-1064

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