WATAUGA DENTAL CENTER PLLC NPI 1114118130

NPI Information

WATAUGA DENTAL CENTER, PLLC is a general practice dentist in Kingsport, TN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WATAUGA DENTAL CENTER, PLLC NPI is 1114118130. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

613 WATAUGA ST
SUITES C, D & E
KINGSPORT, TN
ZIP 37660-429
Phone: (423) 247-7741
Fax: (423) 247-7441

The provider's authorized official is Clayton Edward Davis .
The authorized official title is Manager and has the following contact phone number (423) 247-7741.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 7/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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