1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Clinic Center
  6. NPI Profile

VISTA RIDGE DENTAL ARTS STUDIO, LLC
NPI 1154837292
Clinic/Center - Dental in Johnson City, TN

Active since December 27, 2017
108 W 10TH AVE, JOHNSON CITY, TN 37604(423) 979-1800(423) 979-1802 Get Directions Write a Review

NPPES record last updated: December 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vista Ridge Dental Arts Studio, Llc NPPES

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

VISTA RIDGE DENTAL ARTS STUDIO, LLC (NPI 1154837292) is a healthcare organization registered as a dental in Johnson City, Tennessee and active in the NPI registry since December 2017. The organization lists Amy Herron Moody, Dentist/sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1154837292
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameVISTA RIDGE DENTAL ARTS STUDIO, LLC
Location Address108 W 10TH AVEJohnson City, TN 37604-3800
Mailing Address108 W 10th AveJohnson City, TN 37604-3800 · (423) 979-1800 · Fax (423) 979-1802
Phone(423) 979-1800
Fax(423) 979-1802
Organization SubpartNo
Authorized OfficialAmy Herron MoodyDentist/sole Mbr · (804) 979-1800
Enumeration DateDecember 27, 2017
✔ NPI 1154837292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in TN · 10324
108 W 10TH AVE, Johnson City, TN 37604
Open in Google Maps ↗

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. AMY HERRON MOODY DDS
Dentist
108 W 10TH AVE
JOHNSON CITY, TN 37604
Washington County (423) 979-1800

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 Vista Ridge Dental Arts Studio, LLC's NPI number?

The NPI number for Vista Ridge Dental Arts Studio, LLC is 1154837292. It was assigned to this organization in the NPPES registry on December 27, 2017.

Where is Vista Ridge Dental Arts Studio, LLC located?

Vista Ridge Dental Arts Studio, LLC is located at 108 W 10th Ave, Johnson City, TN 37604. The listed phone number is (423) 979-1800.

What is Vista Ridge Dental Arts Studio, LLC'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 Vista Ridge Dental Arts Studio, LLC was last updated on December 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.