Provider Demographics
NPI:1396790085
Name:DENGLER, JOHN MARTIN (MD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:MARTIN
Last Name:DENGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1321 SUNSET DRIVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-7902
Mailing Address - Country:US
Mailing Address - Phone:423-928-6174
Mailing Address - Fax:423-926-2258
Practice Address - Street 1:1321 SUNSET DRIVE
Practice Address - Street 2:SUITE 11
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-7902
Practice Address - Country:US
Practice Address - Phone:423-928-6174
Practice Address - Fax:423-926-2258
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMDO215442084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
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164888600OtherOWCP DEPT OF LABOR
KY64913387Medicaid
0687POtherNC STATE EMPLOYEES
TN3029803OtherBCBS
0140000774OtherCIGNA
130014280OtherUNITED HEALTHCARE
1292658OtherUMWA
130014280OtherRR MEDICARE
E49454OtherGM RETIREES
Z06607OtherJOHN DEERE
VA006154042Medicaid
602002820OtherPHP CARITEN
10026049OtherPHP CARITEN TENNCARE
TN3061273Medicaid
10026049OtherPHP CARITEN TENNCARE
E49454Medicare UPIN