Dr. John R Collins
Oral and Maxillofacial Surgeon
117 W Sevier Ave Suite 220
Kingsport
, Tennessee 37660-3799
Dr. John R Collins
Oral and Maxillofacial Surgeon
117 W Sevier Ave Suite 220
Kingsport
, Tennessee 37660-3799
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. John R Collins
- 117 W Sevier Ave Suite 220
- Kingsport, TN
- Zip : 37660-3799
- Phone :
Second Address
- Dr. John R Collins
- 117 W Sevier Ave Suite 220
- Kingsport, TN
- Zip : 37660-3799
- Fax : (423) 224-3208
- Phone : (423) 224-3200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS4121 | TN |
National Provider Identifier
| NPI | 1023019254 |
|---|---|
| Provider Name | Dr. John R Collins |
| First Address | Kingsport, TN 37660-3799 |
| Second Address | Kingsport, TN 37660-3799 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2005 |
| Last Update Date | 01/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1518969229 | ORGANIZATION NPI (01) | TN |
| 1609878388 | ORAGNIZATION NPI (01) | TN |
| 1972504389 | ORGANIZATION NPI (01) | TN |
| 3726194 | MEDICARE GROUP NUMBER (01) | TN |
| U02901 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.