L Alan Bacon DDS PC & John Collins DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

L ALAN BACON DDS PC & JOHN COLLINS DDS PC

Doing business as

Associated Oral and Maxillofacial Surgeons

Practice address

1 Medical Park Blvd
Suite 440 East
Bristol, TN 37620-7430

Phone

(423) 844-6200

Fax

(423) 844-4730

NPI assigned

Aug 12, 2005

Last updated

Mar 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Donna L Fuller

Title

Office Manager

Phone

(423) 224-3200

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Associated Oral and Maxillofacial Surgeons Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl W Eilers Jr., DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Johnson City, TN
  • NPI 1295736569
  NPD (past)
• Michael L Hamlin, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bristol, TN
  • NPI 1154322451
  NPD (past)
• Nathaniel G Wells, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Knoxville, TN
  • NPI 1366739591
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1609878388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "address_2": "SUITE 440 EAST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-6200",
            "fax_number": "423-844-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "address_2": "SUITE 440 EAST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-6200",
            "fax_number": "423-844-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L ALAN BACON DDS PC & JOHN COLLINS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-224-3200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN R COLLINS IND NPI",
            "identifier": "1023019254",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHAEL L HAMLIN IND. NPI",
            "identifier": "1154322451",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L ALAN BACON IND. NPI",
            "identifier": "1295736304",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARL W EILERS, JR IND NPI",
            "identifier": "1295736569",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Oral and Maxillofacial Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Kopitzke, MD
• Sarah Kovach
• Elizabeth Anne Krell, FAMILY NURSE PRACTIT
• Constance Kuhlman, LMSW
• Adam J Kuykendall, LPC-MHSP
• Erin Elizabeth Labert, FNP-C
• Laboratory Corporation of America Holdings
• Scott Christopher Laffey, APRN
• Lauren Lake, NP
• Juanelle Little Lambert

• Oral and Maxillofacial Surgery (Dentist) in Bristol, TN
• Providers in Bristol, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.