KINGSTON DENTAL LLC NPI 1174782007

NPI Information

  • NPI: 1174782007
  • Provider Name: KINGSTON DENTAL LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Other Name: MOBILE UNIT 24
  • Address: 820 N KENTUCKY ST
    KINGSTON, TN
    ZIP 37763
  • Phone: (865) 804-2531

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NPI Details

KINGSTON DENTAL LLC is a general practice dentist in Kingston, 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. KINGSTON DENTAL LLC NPI is 1174782007. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mobile Unit 24.

The provider's business location address is:

820 N KENTUCKY ST
KINGSTON, TN
ZIP 37763-635
Phone: (865) 804-2531
Fax: (865) 966-1229

The provider's authorized official is Evon Hulse .
The authorized official title is Owner and has the following contact phone number (865) 804-2531.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 5/10/2010.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice8110TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
118362OTHERTENNESSEEDORAL DENTAL OF TN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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