| Vista Ridge Dental Arts Studio, Llc | |
|
108 W 10th Ave Johnson City TN 37604-3800 | |
| (423) 979-1800 | |
| (423) 979-1802 |
| Full Name | Vista Ridge Dental Arts Studio, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 108 W 10th Ave, Johnson City, Tennessee |
| Authorized Official Name and Position | Amy Herron Moody (DENTIST/SOLE MBR) |
| Authorized Official Contact | 8049791800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Ridge Dental Arts Studio, Llc 108 W 10th Ave Johnson City TN 37604-3800 Ph: (423) 979-1800 | Vista Ridge Dental Arts Studio, Llc 108 W 10th Ave Johnson City TN 37604-3800 Ph: (423) 979-1800 |
| NPI Number | 1154837292 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 12/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154837292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10324 (Tennessee) | Primary |
Northeast Tn Public Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 Southwest Ave Ext, Johnson City, TN 37604 Phone: 423-979-3200 Fax: 423-979-3267 | |
Angela R. Cameron, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Wesley St, Suite #4, Johnson City, TN 37601 Phone: 423-928-8359 Fax: 423-282-6018 | |
Allcare Dental & Dentures Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 N Roan St, Johnson City, TN 37601 Phone: 423-477-2233 Fax: 423-477-8301 | |
E.w. Cooper D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 E Watauga Ave, Johnson City, TN 37601 Phone: 423-928-2621 | |
Brit E. Bowers, Dds, P. C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Sunset Dr, Bld. A, Suite 3, Johnson City, TN 37604 Phone: 423-610-0556 Fax: 423-952-0780 | |
Keystone Dental Care, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Bert St Ste 206, Johnson City, TN 37601 Phone: 423-232-7919 | |
Banyas Miranda Dentistry Gps Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 W Watauga Ave, Johnson City, TN 37604 Phone: 423-928-0265 |