Colonial Heights Dental Assocaites

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-00004556 Issued in TN

Legal business name

COLONIAL HEIGHTS DENTAL ASSOCAITES

Practice address

150 Clinic Drive
Suite a
Kingsport, TN 37663

Phone

(423) 239-8021

Fax

(423) 239-6273

NPI assigned

Aug 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bartley Lynn Ford, DDS, FAGD

Title

Dentist/President

Phone

(423) 239-8021

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467567412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CLINIC DRIVE",
            "address_2": "SUITE A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37663",
            "telephone_number": "423-239-8021",
            "fax_number": "423-239-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CLINIC DRIVE",
            "address_2": "SUITE A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37663",
            "telephone_number": "423-239-8021",
            "fax_number": "423-239-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL HEIGHTS DENTAL ASSOCAITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "BARTLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "423-239-8021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, FAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS-00004556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Collins, DMD
• Hannah Ruth Collins, PA
• John R Collins, DDS
• Misty Joan Collins
• Randi Leahann Collins, PHARMD
• Colonial Heights Pharmacy, Inc.
• Colonial Heights Physical Therapy Inc
• Landon A Colquitt IV, M.D.
• Alice Cardin Colson, DPH
• Sara Combs-Robert

• General Practice Dentistry in Kingsport, TN
• Providers in Kingsport, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.