| Universal Dental Assoc Dso Llc | |
|
712 W Walnut St Johnson City TN 37604-6524 | |
| (423) 928-5500 | |
| (423) 929-1505 |
| Full Name | Universal Dental Assoc Dso Llc |
|---|---|
| Speciality | Dentist |
| Location | 712 W Walnut St, Johnson City, Tennessee |
| Authorized Official Name and Position | Tonya Lynn Langenbrunner (OFFICE MANAGER) |
| Authorized Official Contact | 4239285500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Dental Assoc Dso Llc 712 W Walnut St Johnson City TN 37604-6524 Ph: (423) 928-5500 | Universal Dental Assoc Dso Llc 712 W Walnut St Johnson City TN 37604-6524 Ph: (423) 928-5500 |
| NPI Number | 1467758227 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 08/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467758227 | NPI | - | NPPES |
| 3225187 | Medicaid | TN | |
| 12211029 | Other | TN | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS3637 (Tennessee) | Primary |
Northeast Tn Public Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 Southwest Ave Ext, Johnson City, TN 37604 Phone: 423-979-3200 Fax: 423-979-3267 | |
Sophisticated Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Wesley St, Suite #4, Johnson City, TN 37601 Phone: 423-928-8359 Fax: 423-282-6018 | |
Allcare Dental & Dentures Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 N Roan St, Johnson City, TN 37601 Phone: 423-477-2233 Fax: 423-477-8301 | |
E.w. Cooper D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 E Watauga Ave, Johnson City, TN 37601 Phone: 423-928-2621 | |
Brit E. Bowers, Dds, P. C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Sunset Dr, Bld. A, Suite 3, Johnson City, TN 37604 Phone: 423-610-0556 Fax: 423-952-0780 | |
Keystone Dental Care, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Bert St Ste 206, Johnson City, TN 37601 Phone: 423-232-7919 | |
Banyas Miranda Dentistry Gps Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 W Watauga Ave, Johnson City, TN 37604 Phone: 423-928-0265 |