DR. BRADLEY BISHOP DIMINICK DDS NPI 1417516733

NPI Information

DR. Bradley Bishop Diminick, DDS 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. DR. Bradley Bishop Diminick, DDS NPI is 1417516733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2975 FORT HENRY DR STE A
KINGSPORT, TN
ZIP 37664-005
Phone: (423) 247-9196

The enumeration date for this NPI number is 6/10/2019 and was last updated on 6/10/2019.

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:

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