Johnson City Oral and Maxillofacial Surgery, LLC
NPI 1720601230 · Oral & Maxillofacial Surgery (D.M.D.) · Johnson City, TN
Johnson City Oral and Maxillofacial Surgery, LLC is a Oral & Maxillofacial Surgery (D.M.D.) organization in Johnson City, TN (NPI 1720601230).
Provider details
- NPI number
- 1720601230
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Sherban, President(423) 283-4555
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-19
- Last updated
- 2020-05-19
- Certified
- 2020-05-19
Frequently asked questions
- What is Johnson City Oral and Maxillofacial Surgery, LLC's NPI number?
- Johnson City Oral and Maxillofacial Surgery, LLC's National Provider Identifier (NPI) is 1720601230, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Johnson City Oral and Maxillofacial Surgery, LLC?
- Johnson City Oral and Maxillofacial Surgery, LLC is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Johnson City Oral and Maxillofacial Surgery, LLC located?
- Johnson City Oral and Maxillofacial Surgery, LLC's practice location on file with NPPES is 1021 W Oakland Ave Ste 109, Johnson City, TN 37604-2192.
- What is Johnson City Oral and Maxillofacial Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Johnson City Oral and Maxillofacial Surgery, LLC is (423) 283-4555.
- Who is the authorized official for Johnson City Oral and Maxillofacial Surgery, LLC?
- The authorized official listed on Johnson City Oral and Maxillofacial Surgery, LLC's NPPES record is Matthew Sherban, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Johnson City Oral and Maxillofacial Surgery, LLC's NPI active?
- Yes — Johnson City Oral and Maxillofacial Surgery, LLC's NPI (1720601230) is active in the NPPES registry as of the last update on 2020-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.