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Northeast Tn Public Health
Dental Clinic/Center in Johnson City, Tennessee
NPI 1013991686

Northeast Tn Public Health is a Dental Clinic/Center based in Johnson City, TN and is specialized in Dental. Northeast Tn Public Health practices in Johnson City, TN. The NPI Number for Northeast Tn Public Health is 1013991686 and holds a License No. (Tennessee).

The current practice location address for Northeast Tn Public Health is 1233 Southwest Ave Ext, Johnson City, TN and can be reached out via phone at 423-979-3200 and via fax at 423-979-3267.

Location: 1233 Southwest Ave Ext, Johnson City, TN, 37604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013991686
Provider Name
Northeast Tn Public Health
Credential
Provider Entity Type
Organization
Address
1233 Southwest Ave Ext, Johnson City, TN, 37604
Phone Number
423-979-3200
Fax Number
423-979-3267
Provider Enumeration Date
12/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3209286 05 TN
institution
Provider Business Practice Location Address Details
Address
1233 Southwest Ave Ext
City
Johnson City
State
Tennessee
Zip
37604
Phone Number
423-979-3200
Fax Number
423-979-3267
person
Provider Business Mailing Address Details
Address
1233 Southwest Ave Ext
City
Johnson City
State
Tennessee
Zip
37604
Phone Number
423-979-3200
Fax Number
423-979-3267
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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