Healthcare Provider Details

I. General information

NPI: 1942134366
Provider Name (Legal Business Name): SINCLAIR MAUREE CONLEY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SUNSET DR STE 5
JOHNSON CITY TN
37604-3033
US

IV. Provider business mailing address

801 SUNSET DR STE 5
JOHNSON CITY TN
37604-3033
US

V. Phone/Fax

Practice location:
  • Phone: 423-283-4442
  • Fax:
Mailing address:
  • Phone: 423-283-4442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number13171
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: