ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS
NPI 1609878388
Dentist - Oral and Maxillofacial Surgery in Bristol, TN

Active since August 12, 2005
1 MEDICAL PARK BLVD, SUITE 440 EAST, BRISTOL, TN 37620(423) 844-6200(423) 844-4730 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 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 1609878388) is a healthcare organization registered as an oral and maxillofacial surgery in Bristol, 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

NPI1609878388
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameL ALAN BACON DDS PC & JOHN COLLINS DDS PC
Location Address1 MEDICAL PARK BLVD, SUITE 440 EASTBristol, TN 37620-7430
Mailing Address1 Medical Park Blvd, Suite 440 EastBristol, TN 37620-7430 · (423) 844-6200 · Fax (423) 844-4730
Fax(423) 844-4730
Organization SubpartNo
Authorized OfficialDonna L FullerOffice Manager · (423) 224-3200
Enumeration DateAugust 12, 2005
Last NPPES UpdateMarch 1, 2012
NPI 1609878388 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.
1 MEDICAL PARK BLVD, Bristol, TN 37620

Other Names 1

Doing Business AsAssociated Oral And Maxillofacial Surgeons

Other Identifiers 9

Other1295736304TN · L Alan Bacon Ind. Npi
Other1023019254TN · John R Collins Ind Npi
Medicare PIN3225705TN
Medicare PIN3225274TN
Medicare PIN3205528TN
Medicare PIN3726194TN
Other1295736569TN · Carl W Eilers, Jr Ind Npi
Other1154322451TN · Michael L Hamlin Ind. Npi
Medicare PIN3218775TN

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 20

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

Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620

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 1609878388. 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 1 Medical Park Blvd Suite 440 East, Bristol, TN 37620. The listed phone number is (423) 844-6200.

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.