L ALAN BACON DDS PC & JOHN COLLINS DDS PC (NPI# 1609878388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609878388 |
| Entity Type | Organization |
| Organization Name | L ALAN BACON DDS PC & JOHN COLLINS DDS PC |
| Other Organization Name | ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS |
| Practice Address |
1 Medical Park Blvd Suite 440 East Bristol TN 37620-7430 |
| Practice Telephone | 4238446200 |
| Practice Fax Number | 4238444730 |
| Mailing Telephone | 4238446200 |
| Mailing Fax Number | 4238444730 |
| 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 | JOHN R COLLINS IND NPI | 1023019254 | 01 |
| TN | MICHAEL L HAMLIN IND. NPI | 1154322451 | 01 |
| TN | L ALAN BACON IND. NPI | 1295736304 | 01 |
| TN | CARL W EILERS, JR IND NPI | 1295736569 | 01 |
| Other Name | Type Code |
|---|---|
| Associated Oral and Maxillofacial Surgeons | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518969229 | L Alan Bacon Dds PC & John Collins Dds PC | Dentist | 508 Princeton Rd, Suite 204, Johnson City, TN 37601-2060 | 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 |
1 MEDICAL PARK BLVD SUITE 440 EAST |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-7430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768699 | Medical Mall Pharmacy Inc | Pharmacy | 1 Medical Park Blvd, Suite 106-e, Bristol, TN 37620-7430 | 2005-05-23 |
| 1225640980 | Amanda Marshall | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7453 | 2020-08-23 |
| 1336764406 | Maggie Mullins | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-06-14 |
| 1578188249 | Angela Dawn Owens | Pharmacist | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-06-09 |
| 1528683133 | Jessica Dawn Anderson | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-06-09 |
| 1659904837 | Sarah Elizabeth Smith | Nurse Anesthetist, Certified Registered | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-02-17 |
| 1063055762 | Chelsea Newsome | Nurse Practitioner | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-10-25 |
| 1750943718 | Sara Anne Mcglothlin | Occupational Therapy Assistant | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-06-30 |
| 1801355359 | Aaron Allen Kelley | Respiratory Therapist, Registered | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-03-14 |
| 1164922076 | Neha D Naik | Pharmacist | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2018-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| 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 |
|---|---|---|---|---|
| 1194122135 | Samuel Edward Molind | Dentist | 210 Memorial Dr, Bristol, TN 37620-1704 | 2014-11-19 |
| 1992122956 | Bristol Oral Surgery & Implant Center | Dentist | 33 High St, Bristol, CT 06010-5820 | 2014-03-27 |
| 1821339086 | Hartford County Oral Maxillofacial & Implant Surgery PC | Dentist | 259 Farmington Ave, Suite 1, Bristol, CT 06010-3969 | 2013-03-12 |
| 1134391154 | Donald S. Redford, D.d.s, P.c | Dentist | 350 Blountville Hwy, Suite 204, Bristol, TN 37620-0213 | 2008-03-31 |
| 1164517033 | James D Affenito | Dentist | 391 Main St, Bristol, CT 06010-5848 | 2006-10-04 |
| 1972563468 | Donald Smith Redford | Dentist | 350 Blountville Hwy, Suite 204, Bristol, TN 37620-0213 | 2006-03-27 |
| 1154322451 | Michael L Hamlin | Dentist | 1 Medical Park Blvd, Suite 440 East, Bristol, TN 37620-7430 | 2005-08-09 |
| 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 |
| 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 |
| 1386081628 | Andrew Everett Wicke | Dentist | 131 Indian Lake Blvd Ste 100, Hendersonville, TN 37075-6207 | 2013-05-28 |
| Find all providers with the same taxonomy | ||||
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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.