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EUGENE STINSON DDS NPI 1639541543


NPI Information

NPI: 1639541543
Provider Name: EUGENE STINSON DDS

Doing Business As: KODAK DENTAL CARE, PLLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2946 WINFIELD DUNN PKWY
SUITE 301
KODAK, TN
ZIP 37764
Phone: (865) 465-7058
Get Directions

EUGENE STINSON DDS is a general practice dentist in Kodak, 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. EUGENE STINSON DDS NPI is 1639541543. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Kodak Dental Care, Pllc.

The provider's business location address is:

2946 WINFIELD DUNN PKWY
SUITE 301
KODAK, TN
ZIP 37764-306
Phone: (865) 465-7058
Fax: (865) 465-3432

The provider's authorized official is Kay Harrison .
The authorized official title is Office Manager and has the following contact phone number (865) 465-7058.

The enumeration date for this NPI number is 10/30/2015 and was last updated on 10/30/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDS0000003957TENNESSEENo
21223G0001XDentistGeneral PracticeDS0000005043TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15440268OTHERTENNESSEETENNCARE
23225522MEDICAIDTENNESSEE

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: 4/28/2024

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