Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northeast Tn Public Health

Organization Dental Clinic/Center · NPI 1013991686

Northeast Tn Public Health provides Dental Clinic/Center services in Johnson City, Tennessee. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

1233 SW Ave Ext
Johnson City, TN 37604
Phone: (423) 979-3200
Fax: (423) 979-3267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1013991686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Vestal — Dental Director · (423) 979-3200
NPI enumeratedDecember 6, 2005
Last updated in NPPESAugust 22, 2020
Mailing address1233 Southwest Ave Ext, Johnson City, TN 37604

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