Provider Demographics
NPI:1932776374
Name:POGET, ALLISON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:POGET
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 DOUGLAS DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-1918
Mailing Address - Country:US
Mailing Address - Phone:423-262-9613
Mailing Address - Fax:
Practice Address - Street 1:801 SUNSET DR
Practice Address - Street 2:BUILDING D, SUITE 1
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604
Practice Address - Country:US
Practice Address - Phone:423-610-0556
Practice Address - Fax:423-952-0780
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN115951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice