KINGSTON DENTAL LLC NPI 1902069529

NPI Information

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 1902069529. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mobile 40.

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 Co-owner and has the following contact phone number (865) 804-2531.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 5/14/2010.

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:

Other Identifiers

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