BANYAS MIRANDA DENTISTRY GPS PLLC
NPI 1083352165
Clinic/Center - Dental in Johnson City, TN

Active since May 26, 2022
216 W WATAUGA AVE, JOHNSON CITY, TN 37604(423) 928-0265 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Banyas Miranda Dentistry Gps Pllc NPPES

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

BANYAS MIRANDA DENTISTRY GPS PLLC (NPI 1083352165) is a healthcare organization registered as a dental in Johnson City, Tennessee and active in the NPI registry since May 2022. The organization lists William Little, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1083352165
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBANYAS MIRANDA DENTISTRY GPS PLLC
Location Address216 W WATAUGA AVEJohnson City, TN 37604-5624
Mailing Address100 E Huntington Ave Ste EJonesboro, AR 72401-2900
Organization SubpartNo
Authorized OfficialWilliam LittleCo-owner · (870) 243-4406
Enumeration DateMay 26, 2022
NPPES CertifiedMay 26, 2022
NPI 1083352165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
216 W WATAUGA AVE, Johnson City, TN 37604

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
216 W WATAUGA AVE
JOHNSON CITY, TN 37604
Dentist
216 W WATAUGA AVE
JOHNSON CITY, TN 37604
Dentist
216 W WATAUGA AVE
JOHNSON CITY, TN 37604

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 Banyas Miranda Dentistry Gps PLLC's NPI number?

The NPI number for Banyas Miranda Dentistry Gps PLLC is 1083352165. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Banyas Miranda Dentistry Gps PLLC located?

Banyas Miranda Dentistry Gps PLLC is located at 216 W Watauga Ave, Johnson City, TN 37604. The listed phone number is (423) 928-0265.

What is Banyas Miranda Dentistry Gps PLLC'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 Banyas Miranda Dentistry Gps PLLC was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.