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KNOB CREEK ORAL CLINIC
NPI 1497142137
Clinic/Center - Oral and Maxillofacial Surgery in Johnson City, TN

Active since April 21, 2015
2306 KNOB CREEK RD, SUITE 108, JOHNSON CITY, TN 37604(423) 467-5009 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Knob Creek Oral Clinic NPPES

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

KNOB CREEK ORAL CLINIC (NPI 1497142137) is a healthcare organization registered as an oral and maxillofacial surgery in Johnson City, Tennessee and active in the NPI registry since April 2015. The organization lists Sandford W Prince, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1497142137
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameKNOB CREEK ORAL CLINIC
Location Address2306 KNOB CREEK RD, SUITE 108Johnson City, TN 37604-2366
Mailing Address2306 Knob Creek Rd, Suite 108Johnson City, TN 37604-2366 · (423) 467-5009
Phone(423) 467-5009
Organization SubpartNo
Authorized OfficialSandford W PrinceOral Surgeon · (423) 467-5010
Enumeration DateApril 21, 2015
✔ NPI 1497142137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in TN · DS0000009647
Definition
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2306 KNOB CREEK RD, Johnson City, TN 37604
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Other Providers at the Same Location NPPES 5

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

JAMES EMERSON SHEFFEY MD
Colon & Rectal Surgery
2306 KNOB CREEK RD, SUITE 100
JOHNSON CITY, TN 37604
Washington County (423) 610-1177
SOUTHSIDE SENIOR CARE LLC
Optometrist
2306 KNOB CREEK RD
JOHNSON CITY, TN 37604
Washington County (423) 943-3079
DR. CONNIE JO PENNINGTON M.D.
Specialist
2306 KNOB CREEK RD, SUITE 100
JOHNSON CITY, TN 37604
Washington County (423) 610-1177
TRUELIGHT EYE CARE, PLLC
Optometrist
2306 KNOB CREEK RD, #106
JOHNSON CITY, TN 37604
Washington County (423) 929-2020
DR. SAMUEL E COX O.D.
Optometrist
2306 KNOB CREEK RD, SUITE 106
JOHNSON CITY, TN 37604
Washington County (423) 929-2020

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 Knob Creek Oral Clinic's NPI number?

The NPI number for Knob Creek Oral Clinic is 1497142137. It was assigned to this organization in the NPPES registry on April 21, 2015.

Where is Knob Creek Oral Clinic located?

Knob Creek Oral Clinic is located at 2306 Knob Creek Rd Suite 108, Johnson City, TN 37604. The listed phone number is (423) 467-5009.

What is Knob Creek Oral Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Knob Creek Oral Clinic was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.