Northeast Tn Public Health
NPI #1013991686 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1013991686
- Entity Type
- Organization
- Organization Name
- Northeast Tn Public Health
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 6, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1233 SOUTHWEST AVE EXT
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604
- Phone
- (423) 979-3200
Authorized Official
- Name
- DR. REBECCA B VESTAL, DDS
- Title
- DENTAL DIRECTOR
- Phone
- (423) 979-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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