Boones Creek Dentistry
NPI 1124726724ActiveOrganization· Dentist, General Practice· Johnson City, TN
Dentist, General Practice in Johnson City, Tennessee, registered in NPPES in February 2023. The authorized official on file is Melissa Gail Andrews, Administrative Assistant.
Overview
| NPI | 1124726724 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2023 |
| Last updated in NPPES | Feb 22, 2023 |
| Certified by provider | Feb 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in Johnson City
- 1043426380
- 1013831569
- 1174977953
- 1134348626
- 1619092152
- 1063718724
- 1689056624
- 1255997359
- 1194734335
- 1588831275
- 1558988352
- 1336893163