1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Oral Maxillofacial Surgery
  6. NPI Profile

JOHNSON CITY ORAL AND MAXILLOFACIAL SURGERY, LLC
NPI 1720601230
Oral & Maxillofacial Surgery in Johnson City, TN

Active since May 19, 2020
1021 W OAKLAND AVE STE 109, JOHNSON CITY, TN 37604(423) 283-4555 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johnson City Oral And Maxillofacial Surgery, Llc NPPES

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

JOHNSON CITY ORAL AND MAXILLOFACIAL SURGERY, LLC (NPI 1720601230) is a healthcare organization registered as an oral & maxillofacial surgery in Johnson City, Tennessee and active in the NPI registry since May 2020. The organization lists Matthew Sherban, President, as its authorized official.

NPPES Registry Identity

NPI1720601230
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameJOHNSON CITY ORAL AND MAXILLOFACIAL SURGERY, LLC
Location Address1021 W OAKLAND AVE STE 109Johnson City, TN 37604-2192
Mailing Address1021 W Oakland Ave Ste 109Johnson City, TN 37604-2192 · (423) 283-4555
Phone(423) 283-4555
Organization SubpartNo
Authorized OfficialMatthew SherbanPresident · (423) 283-4555
Enumeration DateMay 19, 2020
NPPES CertifiedMay 19, 2020
✔ NPI 1720601230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

1021 W OAKLAND AVE STE 109, Johnson City, TN 37604
Open in Google Maps ↗

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.

DR. MATTHEW SHERBAN D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1021 W OAKLAND AVE STE 109
JOHNSON CITY, TN 37604
Washington County (423) 283-4555

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 Johnson City Oral And Maxillofacial Surgery, LLC's NPI number?

The NPI number for Johnson City Oral And Maxillofacial Surgery, LLC is 1720601230. It was assigned to this organization in the NPPES registry on May 19, 2020.

Where is Johnson City Oral And Maxillofacial Surgery, LLC located?

Johnson City Oral And Maxillofacial Surgery, LLC is located at 1021 W Oakland Ave Ste 109, Johnson City, TN 37604. The listed phone number is (423) 283-4555.

What is Johnson City Oral And Maxillofacial Surgery, LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Johnson City Oral And Maxillofacial Surgery, LLC was last updated on May 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.