OrganizationActive
Johnson City Oral and Maxillofacial Surgery, LLC
NPI 1720601230 · Oral & Maxillofacial Surgery (D.M.D.) · Johnson City, TN
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
Practice location
1021 W Oakland Ave Ste 109
Johnson City, TN 37604-2192
Phone: (423) 283-4555
Approximate (ZIP-level) locationGet directions
Mailing address
1021 W Oakland Ave Ste 109
Johnson City, TN 37604-2192
Registry dates
- Enumerated
- 2020-05-19
- Last updated
- 2020-05-19
- Certified
- 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.