Healthcare Provider Details

I. General information

NPI: 1942128905
Provider Name (Legal Business Name): NATALIE VICTORIA TOMES DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SUNSET DR STE 1
JOHNSON CITY TN
37604-3033
US

IV. Provider business mailing address

582 PLEASANT HILL RD
BLOUNTVILLE TN
37617-6008
US

V. Phone/Fax

Practice location:
  • Phone: 423-610-0556
  • Fax:
Mailing address:
  • Phone: 423-963-9452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number13187
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: