DR. MARK D DAMRON (NPI# 1538315460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538315460 |
| Entity Type | Individual |
| Full Name | DR. MARK D DAMRON |
| Credential | DMD |
| Practice Address |
2800 Peoples St Ste 90 Johnson City TN 37604-4158 |
| Practice Telephone | 4239280345 |
| Practice Fax Number | 4239264358 |
| Mailing Telephone | 4239280345 |
| Mailing Fax Number | 4239264358 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2019-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS0000009838 | TN | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
8818 | KY | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401412183 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100104540 | 05 |
| Street Address |
2800 PEOPLES ST STE 90 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255997359 | Johnson City Smiles, LLC | Dentist | 2800 Peoples St Ste 90, Johnson City, TN 37604-4158 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988352 | Oral Sleep Devices Pllc | Dentist | 110 Corporate Dr Ste 140, Johnson City, TN 37604-2008 | 2020-06-29 |
| 1386120061 | Adam Major | Dentist | 520 W Oakland Ave Ste 6, Johnson City, TN 37604-1654 | 2018-07-16 |
| 1689056624 | Johnson City Dental | Dentist | 1720 W. Market St., Johnson City, TN 37604-6021 | 2015-06-26 |
| 1770893760 | Nilam Tulsidas Patel | Dentist | 502 Princeton Rd Ste B, Johnson City, TN 37601-2047 | 2010-10-08 |
| 1255642906 | Rhiannon Mariah Miller | Dentist | 1303 Carroll Creek Rd, Suite 120, Johnson City, TN 37615-4674 | 2010-06-28 |
| 1205150877 | James Gilbert Holt | Dentist | 111 W. Fairview Ave, Johnson City, TN 37604-5632 | 2010-03-25 |
| 1356556229 | Diane Downton | Dentist | 281 Riverside Dr, Johnson City, NY 13790-2726 | 2007-05-13 |
| 1518181577 | William J Kucko | Dentist | 226 Oakdale Rd, Johnson City, NY 13790-1127 | 2007-04-12 |
| 1154450294 | Milton Keith Ellis | Dentist | 2806 W Market St, Johnson City, TN 37604-5166 | 2007-03-05 |
| 1184780603 | Kevin L Lewis | Dentist | 3900 Bristol Hwy # B-14, Johnson City, TN 37601-1378 | 2006-12-29 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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| 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.