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NORTHEAST TN PUBLIC HEALTH
NPI 1013991686
Clinic/Center - Dental in Johnson City, TN

Active since December 06, 2005
1233 SOUTHWEST AVE EXT, JOHNSON CITY, TN 37604(423) 979-3200(423) 979-3267 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Northeast Tn Public Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST TN PUBLIC HEALTH (NPI 1013991686) is a healthcare organization registered as a dental in Johnson City, Tennessee and active in the NPI registry since December 2005. The organization lists Rebecca B Vestal, Dental Director, as its authorized official.

NPPES Registry Identity

NPI1013991686
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNORTHEAST TN PUBLIC HEALTH
Location Address1233 SOUTHWEST AVE EXTJohnson City, TN 37604
Mailing Address1233 Southwest Ave ExtJohnson City, TN 37604 · (423) 979-3200 · Fax (423) 979-3267
Phone(423) 979-3200
Fax(423) 979-3267
Organization SubpartNo
Authorized OfficialRebecca B VestalDental Director · (423) 979-3200
Enumeration DateDecember 6, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013991686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1233 SOUTHWEST AVE EXT, Johnson City, TN 37604
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Other Identifiers 1

Medicaid3209286TN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA NEWLON
Registered Nurse
1233 SOUTHWEST AVE EXT
JOHNSON CITY, TN 37604
Washington County (423) 979-3200
STATE OF TENNESSEE
Public Health or Welfare
1233 SOUTHWEST AVE EXT
JOHNSON CITY, TN 37604
Washington County (423) 979-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Tn Public Health's NPI number?

The NPI number for Northeast Tn Public Health is 1013991686. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is Northeast Tn Public Health located?

Northeast Tn Public Health is located at 1233 Southwest Ave Ext, Johnson City, TN 37604. The listed phone number is (423) 979-3200.

What is Northeast Tn Public Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Northeast Tn Public Health was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.