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

ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS
NPI 1972504389
Dentist - Oral and Maxillofacial Surgery in Kingsport, TN

Active since August 09, 2005
117 W SEVIER AVE, SUITE 220, KINGSPORT, TN 37660(423) 224-3200(423) 224-3208 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 1972504389) is a healthcare organization registered as an oral and maxillofacial surgery in Kingsport, 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

NPI1972504389
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameL ALAN BACON DDS PC & JOHN COLLINS DDS PC
Location Address117 W SEVIER AVE, SUITE 220Kingsport, TN 37660-3799
Mailing Address117 W Sevier Ave, Suite 220Kingsport, TN 37660-3799 · (423) 224-3200 · Fax (423) 224-3208
Phone(423) 224-3200
Fax(423) 224-3208
Organization SubpartNo
Authorized OfficialDonna L FullerOffice Manager · (423) 224-3200
Enumeration DateAugust 9, 2005
Last NPPES UpdateMarch 1, 2012
✔ NPI 1972504389 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.
117 W SEVIER AVE, Kingsport, TN 37660
Open in Google Maps ↗

Other Names 1

Doing Business AsAssociated Oral And Maxillofacial Surgeons

Other Identifiers 9

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

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 9

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

DR. JOHN R COLLINS DDS
Dentist (Oral and Maxillofacial Surgery)
117 W SEVIER AVE, SUITE 220
KINGSPORT, TN 37660
Sullivan County (423) 224-3200
SALLIE H LIVELY NP
Nurse Practitioner (Family)
117 W SEVIER AVE, SUITE 100
KINGSPORT, TN 37660
Sullivan County (423) 224-3300
DEOMICK HARRIS
Dentist
117 W SEVIER AVE
KINGSPORT, TN 37660
Sullivan County (704) 258-4106
DR. LARRY ALAN BACON DDS
Dentist (Oral and Maxillofacial Surgery)
117 W SEVIER AVE, SUITE 220
KINGSPORT, TN 37660
Sullivan County (423) 224-3200
DR. JOHN MICHAEL CONSTANTINE D.M.D.
Dentist
117 W SEVIER AVE
KINGSPORT, TN 37660
Sullivan County (423) 933-3981
JASON D PICKUP DMD
Dentist (Oral and Maxillofacial Surgery)
117 W SEVIER AVE, SUITE 220
KINGSPORT, TN 37660
Sullivan County (423) 224-3200
APPALACHIAN REHABILITATION PROFESSIONALS, PC
Physical Medicine & Rehabilitation
117 W SEVIER AVE, STE 120
KINGSPORT, TN 37660
Sullivan County (423) 392-8100
DR. MICHAEL DAVID FOSTER DMD, MPH
Dentist (Oral and Maxillofacial Surgery)
117 W SEVIER AVE, SUITE 220
KINGSPORT, TN 37660
Sullivan County (423) 224-3200

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 1972504389. It was assigned to this organization in the NPPES registry on August 9, 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 117 W Sevier Ave Suite 220, Kingsport, TN 37660. The listed phone number is (423) 224-3200.

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.