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

ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS
NPI 1518969229
Dentist - Oral and Maxillofacial Surgery in Johnson City, TN

Active since August 12, 2005
508 PRINCETON RD, SUITE 204, JOHNSON CITY, TN 37601(423) 915-1072(423) 915-1075 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Associated Oral And Maxillofacial Surgeons NPPES

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

ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS (NPI 1518969229) is a healthcare organization registered as an oral and maxillofacial surgery in Johnson City, Tennessee and active in the NPI registry since August 2005. The organization lists Donna L Fuller, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1518969229
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameL ALAN BACON DDS PC & JOHN COLLINS DDS PC
Location Address508 PRINCETON RD, SUITE 204Johnson City, TN 37601-2060
Mailing Address508 Princeton Rd, Suite 204Johnson City, TN 37601-2060 · (423) 915-1072 · Fax (423) 915-1075
Phone(423) 915-1072
Fax(423) 915-1075
Organization SubpartNo
Authorized OfficialDonna L FullerOffice Manager · (423) 224-3200
Enumeration DateAugust 12, 2005
Last NPPES UpdateMarch 1, 2012
✔ NPI 1518969229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist 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.
508 PRINCETON RD, Johnson City, TN 37601
Open in Google Maps ↗

Other Names 1

Doing Business AsAssociated Oral And Maxillofacial Surgeons

Other Identifiers 9

Other1154322451TN · Michael L Hamlin Ind. Npi
Medicare PIN3225274TN
Medicare PIN3205528TN
Medicare PIN3225705TN
Other1295736569TN · Carl W Eilers, Jr Ind Npi
Other1295736304TN · L Alan Bacon Ind Npi
Medicare PIN3218775TN
Other1023019254TN · John R Collins Ind. Npi
Medicare PIN3756194TN

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

QC FAMILY PRACTICE
Clinic/Center (Primary Care)
508 PRINCETON RD, SUITE 104
JOHNSON CITY, TN 37601
Washington County (423) 384-0614
DR. CARL W EILERS JR. DDS
Dentist (Oral and Maxillofacial Surgery)
508 PRINCETON RD, SUITE 204
JOHNSON CITY, TN 37601
Washington County (423) 915-1072
DR. BILL N BOSWELL M.D.
Urology
508 PRINCETON RD, SUITE 104
JOHNSON CITY, TN 37601
Washington County (423) 928-0168
DR. JIMMY DALE WESTMORELAND II DDS
Dentist (General Practice)
508 PRINCETON RD
JOHNSON CITY, TN 37601
Washington County (423) 282-2844
DR. DANIEL MCCLASKEY AUTER D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
508 PRINCETON RD, SUITE 305
JOHNSON CITY, TN 37601
Washington County (423) 282-8958
MARSHA LITTON-BAKER LPC
Counselor (Professional)
508 PRINCETON RD, STE 403
JOHNSON CITY, TN 37601
Washington County (423) 302-3480
MS. CONNIE R. SIMPSON LPC , MHSP
Counselor (Mental Health)
508 PRINCETON RD, SUITE 403
JOHNSON CITY, TN 37601
Washington County (423) 302-3480
MR. QUINTON W CARROLL APRN
Nurse Practitioner (Family)
508 PRINCETON RD, SUITE 104
JOHNSON CITY, TN 37601
Washington County (423) 384-0614

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 L Alan Bacon Dds PC & John Collins Dds PC's NPI number?

The NPI number for L Alan Bacon Dds PC & John Collins Dds PC is 1518969229. It was assigned to this organization in the NPPES registry on August 12, 2005. The provider is doing business as Associated Oral And Maxillofacial Surgeons.

Where is L Alan Bacon Dds PC & John Collins Dds PC located?

L Alan Bacon Dds PC & John Collins Dds PC is located at 508 Princeton Rd Suite 204, Johnson City, TN 37601. The listed phone number is (423) 915-1072.

What is L Alan Bacon Dds PC & John Collins Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for L Alan Bacon Dds PC & John Collins Dds PC was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.