UNIVERSAL DENTAL ASSOC DSO LLC
NPI 1467758227
Dentist in Johnson City, TN

Q: What is Universal Dental Assoc Dso LLC's NPI number?

The NPI number for Universal Dental Assoc Dso LLC is 1467758227. It was assigned to this organization in the NPPES registry on January 26, 2011. The provider was formerly known as University Dental Assoc.

Q: What is Universal Dental Assoc Dso LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since January 26, 2011

712 W WALNUT ST, JOHNSON CITY, TN 37604(423) 928-5500(423) 929-1505 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Universal Dental Assoc Dso Llc NPPES

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

UNIVERSAL DENTAL ASSOC DSO LLC (NPI 1467758227), doing business as University Dental Assoc, is a healthcare organization registered as a dentist in Johnson City, Tennessee and active in the NPI registry since January 2011. The organization lists Tonya Lynn Langenbrunner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467758227

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameUNIVERSAL DENTAL ASSOC DSO LLC

Location Address712 W WALNUT STJohnson City, TN 37604-6524

Mailing Address712 W Walnut StJohnson City, TN 37604-6524 · (423) 928-5500 · Fax (423) 929-1505

Phone(423) 928-5500

Fax(423) 929-1505

Organization SubpartNo

Authorized OfficialTonya Lynn LangenbrunnerOffice Manager · (423) 928-5500

Enumeration DateJanuary 26, 2011

Last NPPES UpdateAugust 1, 2013

✔ NPI 1467758227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TN · DS3637

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

712 W WALNUT ST, Johnson City, TN 37604

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Other Names 1

Former Legal Business NameUniversity Dental Assoc

Other Identifiers 2

Other12211029TN · Caqh

Medicaid3225187TN

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 2

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

SIMPLE SMILES, P.C.

Dentist (General Practice)

712 W WALNUT ST
JOHNSON CITY, TN 37604

Washington County (423) 218-0968

JOHN G LANGENBRUNNER DMD

Dentist

712 W WALNUT ST
JOHNSON CITY, TN 37604

Washington County (423) 928-5500

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 Universal Dental Assoc Dso LLC's NPI number?

The NPI number for Universal Dental Assoc Dso LLC is 1467758227. It was assigned to this organization in the NPPES registry on January 26, 2011. The provider was formerly known as University Dental Assoc.

Where is Universal Dental Assoc Dso LLC located?

Universal Dental Assoc Dso LLC is located at 712 W Walnut St, Johnson City, TN 37604. The listed phone number is (423) 928-5500.

What is Universal Dental Assoc Dso LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Universal Dental Assoc Dso LLC was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.