OrganizationActive
Knob Creek Oral Clinic
NPI 1497142137 · Oral and Maxillofacial Surgery Clinic/Center · Johnson City, TN
Provider details
- NPI number
- 1497142137
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Sandford Prince, Oral Surgeon
- License
- DS0000009647 (TN)
Practice location
2306 Knob Creek Rd
Suite 108
Johnson City, TN 37604-2366
Phone: (423) 467-5009
Mailing address
2306 Knob Creek Rd
Johnson City, TN 37604-2366
Registry dates
- Enumerated
- 2015-04-21
- Last updated
- 2015-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.