Randall Cline Montgomery in Kingsport - General Practice
Randall Cline Montgomery - NPI 1255316154
Randall Cline Montgomery is a General Practice in Kingsport, Tennessee. Randall Cline Montgomery practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall Cline Montgomery is 1255316154. The last update date is 2007-07-08.
Randall Cline Montgomery's current location address is 2975 Fort Henry Dr, Kingsport, Tennessee. You can contact this provider via phone number 4232479196. The mailing address for Randall Cline Montgomery is 2975 Fort Henry Dr, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Cline Montgomery |
|---|---|
| Address | 2975 Fort Henry Dr, Kingsport, Tennessee |
| Phone Number | 4232479196 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1255316154 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2975 Fort Henry Dr |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376644005 |
| Phone Number | 4232479196 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4805 |
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Definition: 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. |
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What is the unique 10-digit identifier code assigned to Randall Cline Montgomery by the Centers for Medicare & Medicaid Services?
The Randall Cline Montgomery has been issued the NPI (National Provider Identifier) 1255316154 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Randall Cline Montgomery's facilities are situated?
The facilities of Randall Cline Montgomery are physically located at the following address: 2975 Fort Henry Dr, Kingsport, TN, 376644005.
What is Randall Cline Montgomery's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall Cline Montgomery's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255316154 to Randall Cline Montgomery?
The Randall Cline Montgomery received its 1255316154 assignment from the Centers for Medicare & Medicaid Services on 2005-12-13.
As of what date were the details related to Randall Cline Montgomery most recently updated or revised?
The information pertaining to Randall Cline Montgomery, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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