Universal Dental Assoc Dso Llc is a Dental Clinic in Johnson City, Tennessee. It is located at 712 W Walnut St, Johnson City, TN and its contact number is 423-928-5500. The authorized person for Universal Dental Assoc Dso Llc is Tonya Lynn Langenbrunner
who is Office Manager of the clinic and their contact number is 423-928-5500. Other organizations associated with this clinic are Simple Smiles, P.c., Universal Dental Assoc Dso Llc, The primary license number for Universal Dental Assoc Dso Llc is DS3637 (Dentist) in Tennessee.
Universal Dental Assoc Dso Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Universal Dental Assoc Dso Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Universal Dental Assoc Dso Llc |
| Specialization: | Dentistry |
| Clinic Address: | 712 W Walnut St, Johnson City,
Tennessee, 37604-6524 |
| Phone: | 423-928-5500 |
| Fax: | 423-929-1505 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Tonya Lynn Langenbrunner |
| Position: | Office Manager |
| Contact Number: | 423-928-5500 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Universal Dental Assoc Dso Llc clinic are as mentioned below.
| NPI Number: | 1467758227 |
| NPI Enumeration Date: | 26 Jan, 2011 |
| NPI Last Update On: | 01 Aug, 2013 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Simple Smiles, P.c. | Dentistry | 1336893163 |
| Universal Dental Assoc Dso Llc | Dentistry | 1467758227 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Universal Dental Assoc Dso Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | DS3637 | Tennessee | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3225187 | Medicaid | Tennessee | |
| 12211029 | Other | Tennessee | Caqh |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Universal Dental Assoc Dso Llc
712 W Walnut St,
Johnson City, Tennessee |
| Zip: | 37604-6524 |
| Phone Number: | 423-928-5500 |
| Fax Number: | 423-929-1505 |
Patients can reach Universal Dental Assoc Dso Llc at
712 W Walnut St, Johnson City, Tennessee or can
call to book an appointment on 423-928-5500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.