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BOONES CREEK DENTISTRY
NPI 1124726724
Dentist - General Practice in Johnson City, TN

Active since February 22, 2023
4328 N ROAN ST, JOHNSON CITY, TN 37615(423) 282-2441 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boones Creek Dentistry NPPES

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

BOONES CREEK DENTISTRY (NPI 1124726724) is a healthcare organization registered as a general practice in Johnson City, Tennessee and active in the NPI registry since February 2023. The organization lists Melissa Gail Andrews, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1124726724
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOONES CREEK DENTISTRY
Location Address4328 N ROAN STJohnson City, TN 37615-4641
Mailing Address4328 N Roan StJohnson City, TN 37615-4641 · (423) 282-2441
Phone(423) 282-2441
Organization SubpartNo
Authorized OfficialMelissa Gail AndrewsAdministrative Assistant · (423) 282-2441
Enumeration DateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
✔ NPI 1124726724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
4328 N ROAN ST, Johnson City, TN 37615
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Other Names 1

Doing Business AsBoones Creek Dentistry

Other Identifiers 3

Other1255828356TN · Dental
Other1326185471TN · Dental
Other1568812691TN · Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. J. MICHAEL AMBURGEY D.D.S.
Dentist (General Practice)
4328 N ROAN ST
JOHNSON CITY, TN 37615
Washington County (423) 282-2441

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 Boones Creek Dentistry's NPI number?

The NPI number for Boones Creek Dentistry is 1124726724. It was assigned to this organization in the NPPES registry on February 22, 2023.

Where is Boones Creek Dentistry located?

Boones Creek Dentistry is located at 4328 N Roan St, Johnson City, TN 37615. The listed phone number is (423) 282-2441.

What is Boones Creek Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Boones Creek Dentistry was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.