OrganizationActive
L Alan Bacon DDS PC & John Collins DDS PC
NPI 1972504389 · Oral and Maxillofacial Surgery (Dentist) · Kingsport, TN
Provider details
- NPI number
- 1972504389
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Donna Fuller, Office Manager(423) 224-3200
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
117 W Sevier Ave
Suite 220
Kingsport, TN 37660-3799
Phone: (423) 224-3200
Fax: (423) 224-3208
Street-level locationGet directions
Mailing address
117 W Sevier Ave
Kingsport, TN 37660-3799
Other names (DBA / former)
- Doing business as
- Associated Oral and Maxillofacial Surgeons
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2012-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.