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Johnson City Oral and Maxillofacial Surgery, LLC

Oral & Maxillofacial Surgery (D.M.D.) in Johnson City, TN · enumerated 2020 · authorized official Matthew Sherban, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720601230

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Registry record

Entity type Organization (Type 2)
Legal business name Johnson City Oral and Maxillofacial Surgery, LLC
Practice address 1021 W Oakland Ave Ste 109, Johnson City, TN, 37604
Enumeration date May 19, 2020
Last updated in NPPES May 19, 2020

Taxonomy & classification

204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians Primary

Authorized official

Name Matthew Sherban
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Johnson City Oral and Maxillofacial Surgery, LLC located?
The practice location on file with NPPES is in Johnson City, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-05-19. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-05-19.