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TENNESSEE DENTAL PROFESSIONALS, PC
NPI 1619821162
Dentist - General Practice in Johnson City, TN

Active since February 23, 2026
189 CORPORATE DR STE 20, JOHNSON CITY, TN 37604(423) 928-8359 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tennessee Dental Professionals, Pc NPPES

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

TENNESSEE DENTAL PROFESSIONALS, PC (NPI 1619821162), doing business as Sophisticated Smiles, is a healthcare organization registered as a general practice in Johnson City, Tennessee and active in the NPI registry since February 2026. The organization lists Hillary Thull, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1619821162
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTENNESSEE DENTAL PROFESSIONALS, PC
Location Address189 CORPORATE DR STE 20Johnson City, TN 37604-2385
Mailing Address189 Corporate Dr Ste 20Johnson City, TN 37604-2385 · (423) 928-8359
Phone(423) 928-8359
Organization SubpartYes
Authorized OfficialHillary ThullCredentialing Coordinator · (217) 540-8946
Enumeration DateFebruary 23, 2026
Last NPPES UpdateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1619821162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

189 CORPORATE DR STE 20, Johnson City, TN 37604
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Other Names 1

Doing Business AsSophisticated Smiles

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

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

SOPHISTICATED SMILES TC, LLC
Clinic/Center (Dental)
189 CORPORATE DR STE 20
JOHNSON CITY, TN 37604
Washington County (770) 307-8726

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 Tennessee Dental Professionals, PC's NPI number?

The NPI number for Tennessee Dental Professionals, PC is 1619821162. It was assigned to this organization in the NPPES registry on February 23, 2026. The provider is doing business as Sophisticated Smiles.

Where is Tennessee Dental Professionals, PC located?

Tennessee Dental Professionals, PC is located at 189 Corporate Dr Ste 20, Johnson City, TN 37604. The listed phone number is (423) 928-8359.

What is Tennessee Dental Professionals, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tennessee Dental Professionals, PC was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.