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FAMILY DENTAL CENTER TRICITIES PC NPI 1588326144


NPI Information

NPI: 1588326144
Provider Name: FAMILY DENTAL CENTER TRICITIES, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
116 JACK WHITE DR STE 12
KINGSPORT, TN
ZIP 37664
Phone: (423) 247-6961
Get Directions

FAMILY DENTAL CENTER TRICITIES, PC 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. FAMILY DENTAL CENTER TRICITIES, PC NPI is 1588326144. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

116 JACK WHITE DR STE 12
KINGSPORT, TN
ZIP 37664-379
Phone: (423) 247-6961
Fax: (423) 247-5552

The provider's authorized official is Tatum L Kinder .
The authorized official title is Dentist and has the following contact phone number (423) 247-6961.

The enumeration date for this NPI number is 10/12/2021 and was last updated on 10/12/2021.


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 PracticeYes

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
18105OTHERTENNESSEEINSURANCE COMPANIES

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: 5/5/2024

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