J. Michael Amburgey, D.D.S.
Individual provider Active NPI General Practice Dentistry · Johnson City, TN
NPI 1326045238 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1326045238
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS3035 (TN)
- Practice address
- 4328 N Roan St
Johnson City, TN 37615-4702 - Phone
- (423) 282-2441
- Fax
- (423) 282-0799
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS3035 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boones Creek Dentistry | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS3035 | TN | Yes |
Addresses
Primary practice location
4328 N Roan St
Johnson City, TN 37615-4702
Mailing address
4328 N Roan St
Johnson City, TN 37615-4702
Phone (423) 282-2441
Other providers in Johnson City, TN
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- Tammy Kim Almond
- Sergio Gabriel Alonso
- Hamza Manaf Mahmoud Altal
- Jason L Altman
- American Toxicology Lab, LLC
- Zachary Glen Ames
- Mohammad Bin Amir
- Rachel Jarratt Amodei
- Rajani Anand
All providers in Johnson City, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.