National Provider Identifier Database

KNOB CREEK ORAL CLINIC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

KNOB CREEK ORAL CLINIC
2306 KNOB CREEK RD
SUITE 108
JOHNSON CITY, TN37604-2366
Phone: 423-467-5009
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for KNOB CREEK ORAL CLINIC

NPI Number 1497142137
Legal business name
LBN
KNOB CREEK ORAL CLINIC
Authorized official SANDFORD PRINCE - (ORAL SURGEON)
Entity Organization
Organization subpart No
Enumeration date 04/21/2015
Last updated 04/21/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: DS0000009647

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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