L ALAN BACON DDS PC & JOHN COLLINS DDS PC (NPI# 1518969229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518969229 |
| Entity Type | Organization |
| Organization Name | L ALAN BACON DDS PC & JOHN COLLINS DDS PC |
| Other Organization Name | ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS |
| Practice Address |
508 Princeton Rd Suite 204 Johnson City TN 37601-2060 |
| Practice Telephone | 4239151072 |
| Practice Fax Number | 4239151075 |
| Mailing Telephone | 4239151072 |
| Mailing Fax Number | 4239151075 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | MS. DONNA L FULLER (OFFICE MANAGER) |
| Authorized Official Telephone | 4232243200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MICHAEL L HAMLIN IND. NPI | 1154322451 | 01 |
| TN | JOHN R COLLINS IND. NPI | 1023019254 | 01 |
| TN | CARL W EILERS, JR IND NPI | 1295736569 | 01 |
| TN | L ALAN BACON IND NPI | 1295736304 | 01 |
| Other Name | Type Code |
|---|---|
| Associated Oral and Maxillofacial Surgeons | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878388 | L Alan Bacon Dds PC & John Collins Dds PC | Dentist | 1 Medical Park Blvd, Suite 440 East, Bristol, TN 37620-7430 | 2005-08-12 |
| 1972504389 | L Alan Bacon Dds PC & John Collins Dds PC | Dentist | 117 W Sevier Ave, Suite 220, Kingsport, TN 37660-3799 | 2005-08-09 |
| Street Address |
508 PRINCETON RD SUITE 204 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295736569 | Carl W Eilers Jr. | Dentist | 508 Princeton Rd, Suite 204, Johnson City, TN 37601-2060 | 2005-08-09 |
| 1215469358 | Qc Family Practice | Clinic/Center | 508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060 | 2017-03-29 |
| 1942651120 | Angela Dawn Tolley | Psychologist | 508 Princeton Rd, Suite 403, Johnson City, TN 37601-2060 | 2016-06-28 |
| 1538519491 | Marsha Litton-baker | Counselor | 508 Princeton Rd, Ste 403, Johnson City, TN 37601-2060 | 2016-06-21 |
| 1154779817 | Blue Ridge Medical Management Corporation | Psychiatry & Neurology | 508 Princeton Rd, Ste 403, Johnson City, TN 37601-2060 | 2016-06-02 |
| 1497085435 | Daniel Mcclaskey Auter | Dentist | 508 Princeton Rd, Suite 305, Johnson City, TN 37601-2060 | 2010-01-13 |
| 1609045806 | Connie R. Simpson | Counselor | 508 Princeton Rd, Suite 403, Johnson City, TN 37601-2060 | 2008-02-21 |
| 1982808424 | Elizabeth Forgey Cannon | Dentist | 508 Princeton Rd, Suite 303, Johnson City, TN 37601-2060 | 2007-06-11 |
| 1619187283 | Quinton W Carroll | Registered Nurse | 508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060 | 2007-05-23 |
| 1467568360 | Jimmy Dale Westmoreland II | Dentist | 508 Princeton Rd, Johnson City, TN 37601 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295898286 | James Leonard Desantis | Dentist | 535 Columbia Drive, Johnson City, NY 13790 | 2006-12-19 |
| 1790750586 | Sandford W Prince | Dentist | 2306 Knob Creek Road #108, Knob Creek Oral Clinic, Johnson City, TN 37604 | 2006-02-23 |
| 1104812213 | Martin R Pittman Dds Ms PC | Dentist | 111 W Fairview Ave, Johnson City, TN 37604-5632 | 2005-09-23 |
| 1295736569 | Carl W Eilers Jr. | Dentist | 508 Princeton Rd, Suite 204, Johnson City, TN 37601-2060 | 2005-08-09 |
| 1427163666 | The Regional Center for Oral & Maxillofacial Surgery, PC | Dentist | 1021 W Oakland Ave, Suite 109, Johnson City, TN 37604-2191 | 2006-08-20 |
| 1588634471 | Charles Edward Witkowski Sr. | Dentist | 1021 W Oakland Ave, Suite 109, Johnson City, TN 37604-2191 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199055 | Daniel Coke | Dentist | 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 | 2016-04-19 |
| 1467835140 | Amir Victor Francis | Dentist | 1100 Poplar View Ln N Ste 1, Collierville, TN 38017-9323 | 2015-06-30 |
| 1376939645 | Matthew Breit | Dentist | 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 | 2015-04-13 |
| 1720472855 | Charles Baker Felts Iv | Dentist | 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2193 | 2015-03-26 |
| 1073910725 | Nashville Oral Facial Surgery, Pllc | Dentist | 2400 Patterson St Ste 316, Nashville, TN 37203-6510 | 2014-11-24 |
| 1194122135 | Samuel Edward Molind | Dentist | 210 Memorial Dr, Bristol, TN 37620-1704 | 2014-11-19 |
| 1780094052 | Andrew Ferraro | Dentist | 2964 Miller Place Way, Knoxville, TN 37924-1673 | 2014-05-07 |
| 1144649393 | Thomas Bailey | Dentist | 3000 Stansberry Ln Ste 101, Franklin, TN 37069-5125 | 2014-04-15 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1427471382 | Oral & Maxillofacial Surgery Clinic Inc. | Dentist | 910 Madison Ave Ste 710, Memphis, TN 38103-3453 | 2014-01-29 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on L ALAN BACON DDS PC & JOHN COLLINS DDS PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.